Organization · NPI-2

Access Behavioral Health Services

Clinic/Center, Adult Mental Health · Boise, ID

NPI number1821376773
StatusActive
Last updated in NPPESJul 26, 2011

Details

NPI
1821376773
Entity type
Organization (NPI-2)
Legal business name
Access Behavioral Health Services
Organization subpart
No
Enumeration date
Jul 26, 2011
Last updated
Jul 26, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental HealthLPC-4515IDYes

Practice location

1276 W River St Ste 100
Boise, ID 83702-7083

Phone 208-322-4722

Mailing address

1276 W River St
Boise, ID 83702-7066

Phone 208-322-4722

Authorized official

Nikki Tangen
Owner
2083224722

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