| Cook Behavioral Health Llc | |
|
123 Mcclure Avenue Nampa ID 83701 | |
| (208) 461-3720 | |
| Not Available |
| Full Name | Cook Behavioral Health Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 123 Mcclure Avenue, Nampa, Idaho |
| Authorized Official Name and Position | Corie Sue Cook (CLINICAL ADMINISTRATOR) |
| Authorized Official Contact | 2084613720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cook Behavioral Health Llc P.o. Box 2775 Boise ID 83701 Ph: (208) 461-3720 | Cook Behavioral Health Llc 123 Mcclure Avenue Nampa ID 83701 Ph: (208) 461-3720 |
| NPI Number | 1538603667 |
|---|---|
| Provider Enumeration Date | 12/08/2016 |
| Last Update Date | 12/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538603667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCSW-29576 (Idaho) | Primary |
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