| Leyline Advocates, Llc | |
|
2210 Broadway Ave Ste 202 Boise ID 83706-4666 | |
| (208) 949-3966 | |
| Not Available |
| Full Name | Leyline Advocates, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2210 Broadway Ave Ste 202, Boise, Idaho |
| Authorized Official Name and Position | James Bradford Daniels (MANAGER) |
| Authorized Official Contact | 2089493966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leyline Advocates, Llc 2210 Broadway Ave Ste 202 Boise ID 83706-4666 Ph: (208) 949-3966 | Leyline Advocates, Llc 2210 Broadway Ave Ste 202 Boise ID 83706-4666 Ph: (208) 949-3966 |
| NPI Number | 1114058062 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114058062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Idaho) | Primary |
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