| Peer Recovery Supports Of Idaho | |
|
963 S Orchard St Suite 202 Boise ID 83705-1939 | |
| (208) 352-0535 | |
| Not Available |
| Full Name | Peer Recovery Supports Of Idaho |
|---|---|
| Speciality | Case Management |
| Location | 963 S Orchard St, Boise, Idaho |
| Authorized Official Name and Position | Michael Robert Biggins (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 2083520535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peer Recovery Supports Of Idaho 963 S Orchard St Suite 202 Boise ID 83705-1939 Ph: (208) 352-0535 | Peer Recovery Supports Of Idaho 963 S Orchard St Suite 202 Boise ID 83705-1939 Ph: (208) 352-0535 |
| NPI Number | 1215391297 |
|---|---|
| Provider Enumeration Date | 04/06/2016 |
| Last Update Date | 04/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215391297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (Idaho) | Primary |
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