NPI 1053053736

Primary Behavioral Health Services

Organisation Case Management Agency Boise, ID

Practice location

Address: 8620 W Emerald St STE 170, Boise, ID 83704-4827
Phone: (208) 713-1065

Authorised official

Name: Kristi Olson
Title: Owner
Phone: (208) 713-1065

Registered specialties (2)

Case Management Agency Primary

Agencies Taxonomy 251B00000X

Other Case Management providers in Idaho →

Mental Health Clinic/Center (Including Community Mental Health Center)

Ambulatory Health Care Facilities Taxonomy 261QM0801X

Other Clinic/Center providers in Idaho →

Registry record

NPI: 1053053736
Entity type: Organization
NPI issued: 12 Apr 2022
Record last updated: 11 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.