Healthcare Provider Details

I. General information

NPI: 1164723771
Provider Name (Legal Business Name): A BETTER LIFE BEHAVIORAL HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2010
Last Update Date: 07/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4696 W OVERLAND RD 236
BOISE ID
83705-2845
US

IV. Provider business mailing address

4696 W OVERLAND RD 236
BOISE ID
83705-2845
US

V. Phone/Fax

Practice location:
  • Phone: 208-515-1660
  • Fax: 208-567-2901
Mailing address:
  • Phone: 208-515-1660
  • Fax: 208-567-2901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number State

VIII. Authorized Official

Name: SARAH LYNN STEWART
Title or Position: PRESIDENT
Credential: BS
Phone: 208-515-1660