Tides Treatment Services
Counselor, Addiction (Substance Use Disorder) in Boise, ID. Organization (NPI-2).
NPI number1801347703
StatusActive
Last updated in NPPESOct 17, 2016
Details
- NPI
- 1801347703
- Entity type
- Organization (NPI-2)
- Legal business name
- Tides Treatment Services
- Organization subpart
- No
- Enumeration date
- Oct 17, 2016
- Last updated
- Oct 17, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
600 N Curtis RdSuite 245
Boise, ID 83706-1449
Phone 208-672-0360
Mailing address
600 N Curtis RdSuite 245
Boise, ID 83706-1449
Phone 208-672-0360
Authorized official
Amy Salisbury
Co-Owner
2086720360
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