| Mountain States Chemical Dependency And Counseling Services, Inc. | |
|
1305 2nd St S Suite 201 Nampa ID 83651-3944 | |
| (208) 463-0202 | |
| (208) 463-0205 |
| Full Name | Mountain States Chemical Dependency And Counseling Services, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1305 2nd St S, Nampa, Idaho |
| Authorized Official Name and Position | Rusty O'leary (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2084630202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain States Chemical Dependency And Counseling Services, Inc. 1305 2nd St South Suite 201 Nampa ID 83651-3964 Ph: (208) 463-0202 | Mountain States Chemical Dependency And Counseling Services, Inc. 1305 2nd St S Suite 201 Nampa ID 83651-3944 Ph: (208) 463-0202 |
| NPI Number | 1043368418 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 06/25/2013 |
| Medicare PECOS PAC ID | 1759612252 |
|---|---|
| Medicare Enrollment ID | O20211022002298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043368418 | NPI | - | NPPES |
| 806878800 | Medicaid | ID | |
| 806892300 | Medicaid | ID | |
| 807126800 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Maureen Kay O'leary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720428550 PECOS PAC ID: 9537490032 Enrollment ID: I20211102003178 |
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