Abundance Behavioral Health Service, Inc

Organization Active NPI Community/Behavioral Health Agency · Caldwell, ID

NPI 1669795308 · NPPES record last updated Jun 6, 2013

Key facts

NPI
1669795308
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
ABUNDANCE BEHAVIORAL HEALTH SERVICE, INC
Practice address
524 Cleveland Blvd Ste 230
Caldwell, ID 83605-4080
Phone
(208) 455-1222
Fax
(208) 455-2559
NPI assigned
Mar 9, 2010
Organization subpart
No

Authorized official

Name
Ms. Beverly Phillips, LSWI
Title
Director/Owner
Phone
(208) 455-1222

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

524 Cleveland Blvd Ste 230
Caldwell, ID 83605-4080

Mailing address

524 Cleveland Blvd Ste 230
Caldwell, ID 83605-4080
Phone (208) 455-1222

Other providers in Caldwell, ID

All providers in Caldwell, ID · Community/Behavioral Health Agency in Idaho

Sources for this page

Verify at the official NPI Registry.