State Avenue Offices
Clinic/Center, Adult Mental Health in Meridian, ID. Organization (NPI-2).
Details
- NPI
- 1821344367
- Entity type
- Organization (NPI-2)
- Legal business name
- State Avenue Offices
- Organization subpart
- No
- Enumeration date
- Aug 2, 2012
- Last updated
- Oct 9, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Practice location
39 E State AveMeridian, ID 83642-2342
Phone 208-994-3599 · Fax 208-473-2206
Mailing address
39 E State AveMeridian, ID 83642-2342
Phone 208-994-3599 · Fax 208-473-2206
Authorized official
Camilla J Cafferty
Owner
2089943599
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Adult Mental Health Clinic/Center providers in Meridian, ID
- Enlightened Therapy Solutions LLCNPI 1205520830
- Joanne Burgio Phd LLCNPI 1437621646
- Lost River WellnessNPI 1497235469
- Meridian Counseling CenterNPI 1336999010
- Alexander ShriverNPI 1932084688
All 6 Adult Mental Health Clinic/Center providers in Meridian · All 4,112 providers in Meridian
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