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Organization
CHILDREN'S HOME SOCIETY OF IDAHO
Active
Organization
CHILDREN'S HOME SOCIETY OF IDAHO
Active
Other names
Warm Springs Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS R YOUNT M.D. (COO)
(208) 343-7797
Entity
Organization
Contact information
Practice address
740 WARM SPRINGS AVE, BOISE, ID 83712-6420
(208) 343-7797
(208) 343-0064
Mailing address
740 WARM SPRINGS AVE, BOISE, ID 83712-6420
(208) 343-7797
(208) 343-0064
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010006259
REGENCE BLUE SHIELD
ID
05
—
002269500
—
ID
01
—
88567
BLUE CROSS
ID
Enumeration date
08/30/2006
Last updated
01/23/2009
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