NPI 1659590727

Abundance Behavioral Health Service INC.

Organisation Case Management Agency Caldwell, ID

Practice location

Address: 524 Cleveland Blvd STE 230, Caldwell, ID 83605-4080
Phone: (208) 455-1222
Fax: (208) 455-2559

Authorised official

Name: Beverly Phillips
Title: Director
Phone: (208) 455-1222

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence LSWI26685 (ID)

Other Case Management providers in Idaho →

Registry record

NPI: 1659590727
Entity type: Organization
NPI issued: 25 Apr 2007
Record last updated: 4 Jun 2013

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.