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NPI Code Detail

MEDICARE: ACCESS BEHAVIORAL HEALTH SERVICES

MEDICARE: ACCESS BEHAVIORAL HEALTH SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number : 1699166637
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACCESS BEHAVIORAL HEALTH SERVICES
Provider Business Mailing Address
First Line : 1276 W RIVER ST STE 100
Second Line :
City : BOISE
State : ID
Zip : 83702-7083
Country : US
Telephone Number : 208-338-4699
Fax Number : 208-344-0127
Provider Business Practice Location Address
First Line : 1276 W RIVER ST STE 100
Second Line :
City : BOISE
State : ID
Zip : 83702-7083
Country : US
Telephone Number : 208-338-4699
Fax Number : 208-344-0127
Authorized Official
Title or Position : OWNER
Name : LAURA SCURI
Credential :
Telephone Number : 208-338-4699
Provider Enumeration Date : 02/12/2015
Last Update Date : 02/12/2015

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Directions to “ACCESS BEHAVIORAL HEALTH SERVICES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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