| Counseling & Treatment Center Of Idaho, Llc | |
|
859 S Yellowstone Hwy Ste 302 Rexburg ID 83440-5294 | |
| (208) 932-5363 | |
| (205) 273-8403 |
| Full Name | Counseling & Treatment Center Of Idaho, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 859 S Yellowstone Hwy Ste 302, Rexburg, Idaho |
| Authorized Official Name and Position | Deborah Finch (OFFICE MANAGER) |
| Authorized Official Contact | 8018579136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling & Treatment Center Of Idaho, Llc 859 S Yellowstone Hwy Ste 302 Rexburg ID 83440-5294 Ph: (208) 932-5363 | Counseling & Treatment Center Of Idaho, Llc 859 S Yellowstone Hwy Ste 302 Rexburg ID 83440-5294 Ph: (208) 932-5363 |
| NPI Number | 1093354318 |
|---|---|
| Provider Enumeration Date | 01/03/2020 |
| Last Update Date | 10/23/2020 |
| Certification Date | 10/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093354318 | NPI | - | NPPES |
| IDTPID012974 | Medicaid | ID |
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