NPI age
19 years
Enumerated 2007-04-23
Across 806 active community/behavioral health providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 8064225 | |
| 05 (ID) | 8057474 | |
| 05 (ID) | 8060775 | |
| 05 (ID) | 8067700 |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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