NPI 1407606890

Blue Skies Behavioral Health

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Boise, ID

Practice location

Address: 5074 N Lena Ave, Boise, ID 83713-1018
Phone: (208) 789-4674

Authorised official

Name: Mario Wade
Title: Administrator
Phone: (208) 867-7416

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Idaho →

Registry record

NPI: 1407606890
Entity type: Organization
NPI issued: 26 Mar 2024
Record last updated: 26 Mar 2024

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.