Healthcare Provider Details

I. General information

NPI: 1013712363
Provider Name (Legal Business Name): CDA SOLUTION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2025
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10080 W SMOKE RANCH DR
BOISE ID
83709-1200
US

IV. Provider business mailing address

10080 W SMOKE RANCH DR
BOISE ID
83709-1200
US

V. Phone/Fax

Practice location:
  • Phone: 208-703-6004
  • Fax:
Mailing address:
  • Phone: 208-703-6004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHANDRA ADHIKARI
Title or Position: OWNER
Credential:
Phone: 208-703-6004