Whalio Doctors

NPI 1336688233

Novitas Academy

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Emmett, ID

Practice location

Address
2625 N Plaza Rd, Emmett, ID 83617-9128
Phone
(208) 954-5085
Mailing address
PO Box 580, Emmett, ID 83617-0580

Authorised official

Name
Andrew Sapp
Title
Executive Director
Phone
(208) 954-5085

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X Licence 41378 (ID)

Registry record

NPI
1336688233
Entity type
Organization
NPI issued
13 Feb 2017
Record last updated
13 Feb 2017

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.