All Seasons Mental Health
Organization Active NPI Community/Behavioral Health Agency · Boise, ID
NPI 1366747172 · NPPES record last updated Jan 26, 2011
Key facts
- NPI
- 1366747172
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- ID-30519 (ID)
- Legal business name
- ALL SEASONS MENTAL HEALTH
- Practice address
- 8050 W Rifleman St Ste 100
Boise, ID 83704-9006 - Phone
- (208) 321-0634
- NPI assigned
- Jan 26, 2011
- Organization subpart
- No
Authorized official
- Name
- Laurie Miller
- Title
- Office Manager
- Phone
- (208) 321-0634
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | ID-30519 | ID | Yes |
Addresses
Primary practice location
8050 W Rifleman St Ste 100
Boise, ID 83704-9006
Mailing address
8050 W Rifleman St Ste 100
Boise, ID 83704-9006
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265565477 | Medicaid | ID |
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All providers in Boise, ID · Community/Behavioral Health Agency in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2011. 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.