# BLACKFOOT BEHAVIORAL HEALTH, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003113465
- **Authorized official:** SANDEE YOUNG LCSW (ADMINISTRATOR)
- **Authorized official phone:** (208) 680-0542

## Contact information

- **Practice address:** 75 LILAC ST, BLACKFOOT, ID 83221-1768
- **Practice address phone:** (208) 782-1322
- **Practice address fax:** (208) 782-1074
- **Mailing address:** 75 LILAC ST, BLACKFOOT, ID 83221-1768
- **Mailing address phone:** (208) 782-1322
- **Mailing address fax:** (208) 782-1074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | LCSW26332 | ID | Yes |

## Other

- **Enumeration date:** 02/22/2011
- **Last updated:** 02/22/2011