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General NPI Number Information
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NPI Number | 1427450055
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Entity Type | Organization
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Legal Business Name | ADA COUNTY TREATMENT SERVICES
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Dates
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Enumeration Date | 09/26/2014
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 3220 W ELDER ST
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City | BOISE
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State | ID
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Zip | 83705-4711
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Country | US
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Telephone | 208-287-7660
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Fax | 208-287-7669
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Provider Business Mailing Address
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Address Line | 200 W FRONT ST STE 4106
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City | BOISE
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State | ID
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Zip | 83702-7300
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Country | US
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Telephone | 208-287-7670
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Fax | 208-287-7679
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Authorized Official
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Title or Position | TREATMENT COURTS DISTRICT MANAGER
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Name | MARREEN BURTON
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Credential |
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Telephone | 208-287-7670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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