| Treasure Valley Behavioral Health, Llc | |
|
131 N Whitley Dr Fruitland ID 83619-2172 | |
| (208) 452-7705 | |
| (208) 452-7750 |
| Full Name | Treasure Valley Behavioral Health, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 131 N Whitley Dr, Fruitland, Idaho |
| Authorized Official Name and Position | Bradi Fritts (OWNER /THERAPIST) |
| Authorized Official Contact | 2084527705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Treasure Valley Behavioral Health, Llc 131 N Whitley Dr. Fruitland ID 83619 Ph: (208) 452-7705 | Treasure Valley Behavioral Health, Llc 131 N Whitley Dr Fruitland ID 83619-2172 Ph: (208) 452-7705 |
| NPI Number | 1790806065 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 11/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790806065 | NPI | - | NPPES |
| 807398400 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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