P Praxis·MD
● Active Type 2 · Organization

My Brother'S Keeper Mbk

Clinic/Center·Boise, ID· NPI 1952674988 · Enumerated 2012 · 14 years on NPI
My Brother'S Keeper Mbk is 1 of 326 clinic/center organizations in Idaho.
NPI age
14 years
Enumerated 2012-02-22
Primary specialty
Clinic/Center
Plus 4 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Summers
Owner
Last NPPES update
2013-03-14
Source: monthly bulk 2026-05

How this organization compares

Across 326 active clinic/center providers in Idaho.

NPI age
14 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
4
In the 19% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-02Enumerated in NPPES
2012 2026

Where they practice

Primary practice location
704 S Cole Rd
Boise, ID 837091861
📞 2083394356
Mailing address
704 S Cole Rd
Boise, ID 837091861
📞 2083394356

Authorized official

Patti Joleen Summers, CPRP
Owner
📞 2083394356

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QM0801X
  • Case Management
    An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management...
    taxonomy 251B00000X
  • Clinic/Center
    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family...
    taxonomy 261QM0855X
  • Clinic/Center
    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
    taxonomy 261QM0850X
  • Community/Behavioral Health
    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...
    taxonomy 251S00000X

Practice context

Single-site organization. Only one practice location on file.

Provyx · Custom healthcare lists

Need all 326 Clinic/Center providers in Idaho?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related