NPI age
16 years
Enumerated 2009-12-30
● Active Type 2 · Organization
Sequel Tsi Of Idaho, Llc
Sequel Tsi Of Idaho, Llc is 1 of 12 residential treatment facility, emotionally disturbed children organizations in Idaho.
Primary specialty
Residential Treatment Facility, Emotionally Disturbed Children
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Stupak
President
Last NPPES update
2009-12-30
Source: monthly bulk 2026-05
How this organization compares
Across 12 active residential treatment facility, emotionally disturbed children providers in Idaho.
NPI age
16 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-12Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
2850 Industrial Way
Mountain Home, ID 836473960
Mailing address
2850 Industrial Way
Mountain Home, ID 836473960
Authorized official
John Stupak
President
📞 2674198913
Specialties
-
Residential Treatment Facility, Emotionally Disturbed Children PrimaryA residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Mountain Home RTC
Practice context
Single-site organization. Only one practice location on file.
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