Kolodge Behavioral Health LLC
Clinic/Center, Developmental Disabilities in Nampa, ID. Organization (NPI-2).
NPI number1942123773
StatusActive
Last updated in NPPESJul 30, 2026
Details
- NPI
- 1942123773
- Entity type
- Organization (NPI-2)
- Legal business name
- Kolodge Behavioral Health LLC
- Organization subpart
- No
- Enumeration date
- Jul 30, 2026
- Certification date
- Jul 30, 2026
- Last updated
- Jul 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD1600X | Clinic/Center, Developmental Disabilities | – | – | Yes |
Practice location
40 N Sagehen LnNampa, ID 83651-5055
Phone 208-241-4728
Mailing address
40 N Sagehen LnNampa, ID 83651-5055
Phone 208-241-4728
Authorized official
Michelle Hillman
Owner
2082414728
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