Organization · NPI-2

About Balance Mental Health LLC

Clinic/Center, Adult Mental Health · Boise, ID

NPI number1265654461
StatusActive
Last updated in NPPESMay 23, 2018

Details

NPI
1265654461
Entity type
Organization (NPI-2)
Legal business name
About Balance Mental Health LLC
Organization subpart
No
Enumeration date
May 3, 2007
Last updated
May 23, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental Health––Yes
261QM0855X Clinic/Center, Adolescent and Children Mental Health––

Practice location

6550 Emerald St
Suite 112
Boise, ID 83704

Phone 208-342-6300 · Fax 208-342-6301

Mailing address

6550 Emerald St
Suite 112
Boise, ID 83704

Phone 208-342-6300 · Fax 208-342-6301

Authorized official

Michele Dooley
Office Manager
2083426300

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