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Organization
CH MH SERVICES (ID), LLC
Active
Organization
CH MH SERVICES (ID), LLC
Active
Other names
Charlie Health
Organization subpart
No
Provider details
NPI number
Authorized official
CHARIE BRYANT (VP, RCM)
(803) 955-6655
Entity
Organization
Contact information
Practice address
9460 W FAIRVIEW AVE STE 130, BOISE, ID 83704-8176
(986) 206-0414
(406) 794-0395
Mailing address
169 MADISON AVE STE 15011, NEW YORK, NY 10016-5101
(406) 219-7835
(406) 794-0352
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
NULL
324500000X
Substance Abuse Rehabilitation Facility
—
NULL
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
NULL
Other
Enumeration date
11/25/2020
Last updated
11/14/2025
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