Individual provider · Type 1 NPI
Tyler David Berreth
Community/Behavioral Health Agency · Boise, ID
Practice location
1276 W. River St. Ste 100 Boise, Id 83702
Boise, ID 83704-5083
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency Primary | 251S00000X | None listed |
Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…
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About NPI 1760304463
Tyler David Berreth's National Provider Identifier is 1760304463, issued on Jul 27, 2026. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Boise, ID. The record was last updated on Oct 20, 2026.