Abhs Inc

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

NPI 1861869786 · NPPES record last updated Aug 26, 2015

Key facts

NPI
1861869786
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
152380008 (ID)
Legal business name
ABHS INC
Practice address
524 Cleveland Blvd
230
Caldwell, ID 83605-4076
Phone
(205) 455-1222
NPI assigned
Aug 26, 2015
Organization subpart
No

Authorized official

Name
Mr. Richard J Johannsen
Title
Administrator
Phone
(208) 455-1222

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X 152380008 ID Yes

Addresses

Primary practice location

524 Cleveland Blvd
230
Caldwell, ID 83605-4076

Mailing address

524 Cleveland Blvd
230
Caldwell, ID 83605-4076
Phone (205) 455-1222

Other identifiers

IdentifierTypeStateIssuer
152380008MedicaidID

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.