Snake River Rehabilitation Counseling Services LLC
Case Management in Lewiston, ID. Organization (NPI-2).
NPI number1154528099
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1154528099
- Entity type
- Organization (NPI-2)
- Legal business name
- Snake River Rehabilitation Counseling Services LLC
- Organization subpart
- No
- Enumeration date
- Jul 2, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
Practice location
1630 23rd Ave Ste 301bLewiston, ID 83501-6357
Phone 208-743-5101 · Fax 208-746-5282
Mailing address
1630 23rd Ave Ste 301bLewiston, ID 83501-6357
Phone 208-743-5101 · Fax 208-746-5282
Authorized official
Victoria Lee Cunningham
Office Manager
2087435101
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