| Center For Behavioral Health Idaho, Llc | |
|
92 S Cole Rd Boise ID 83709-0930 | |
| (208) 367-9021 | |
| Not Available |
| Full Name | Center For Behavioral Health Idaho, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 92 S Cole Rd, Boise, Idaho |
| Authorized Official Name and Position | Jay Higham (CEO) |
| Authorized Official Contact | 2143656112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Behavioral Health Idaho, Llc 5001 Spring Valley Road Suite 600 East Dallas TX 75244-3946 Ph: (214) 365-6100 | Center For Behavioral Health Idaho, Llc 92 S Cole Rd Boise ID 83709-0930 Ph: (208) 367-9021 |
| NPI Number | 1760738645 |
|---|---|
| Provider Enumeration Date | 07/30/2012 |
| Last Update Date | 12/26/2024 |
| Certification Date | 12/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760738645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QM2800X | Clinic/center - Methadone | (* (Not Available)) | Secondary |
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