Alcoholism Intervention Services
Organization Active NPI Community/Behavioral Health Agency · Boise, ID
NPI 1265879548 · NPPES record last updated May 28, 2013
Key facts
- NPI
- 1265879548
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- ALCOHOLISM INTERVENTION SERVICES
- Practice address
- 8436 W Fairview Ave
Suite D
Boise, ID 83704-0144 - Phone
- (208) 338-5249
- Fax
- (208) 338-5579
- NPI assigned
- May 28, 2013
- Organization subpart
- No
Authorized official
- Name
- Mr. Ted Wenzel, CADC
- Title
- Owner
- Phone
- (208) 376-0480
National Provider Directory
Locations
8436 W Fairview Ave
Ste D
Boise, ID 83704
Phone (208) 338-5249
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | ID | Yes |
Addresses
Primary practice location
8436 W Fairview Ave
Suite D
Boise, ID 83704-0144
Mailing address
8436 W Fairview Ave
Suite D
Boise, ID 83704-0144
Phone (208) 338-5249
Other names
- Ted Wenzel
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.