NPI 1568763076

Joint Powers Entity

Organisation Substance Abuse Rehabilitation Facility Boise, ID

Practice location

Address: 400 N Allumbaugh St, Boise, ID 83704-9209
Phone: (208) 377-9669
Fax: (208) 377-1028

Authorised official

Name: David Beiter
Title: Chairman, Mayor City of Boise
Phone: (208) 384-4422

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Idaho →

Psychiatric Residential Treatment Facility

Residential Treatment Facilities Taxonomy 323P00000X

Other Psychiatric Residential Treatment Facility providers in Idaho →

Registry record

NPI: 1568763076
Entity type: Organization
NPI issued: 15 Nov 2010
Record last updated: 15 Nov 2010

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.