NPI age
19 years
Enumerated 2007-05-17
Across 806 active community/behavioral health providers in Idaho.
6 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807098900 | |
| 05 (ID) | 807099000 | |
| 05 (ID) | 807068800 | |
| 05 (ID) | 807353600 | |
| 05 (ID) | 807068700 |
Multi-provider organization. 6 individual providers on file at this primary address.
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