| Primary Behavioral Health Services | |
|
8620 W Emerald St Ste 170 Boise ID 83704-4827 | |
| (120) 871-3106 | |
| Not Available |
| Full Name | Primary Behavioral Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8620 W Emerald St Ste 170, Boise, Idaho |
| Authorized Official Name and Position | Kristi Olson (OWNER) |
| Authorized Official Contact | 2087131065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Behavioral Health Services 8620 W Emerald St Ste 170 Boise ID 83704-4827 Ph: (120) 871-3106 | Primary Behavioral Health Services 8620 W Emerald St Ste 170 Boise ID 83704-4827 Ph: (120) 871-3106 |
| NPI Number | 1447900774 |
|---|---|
| Provider Enumeration Date | 03/28/2022 |
| Last Update Date | 03/28/2022 |
| Certification Date | 03/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447900774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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