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Organization
THE TRAUMA AND ADDICTION TREATMENT CENTER LLC
Active
Organization
THE TRAUMA AND ADDICTION TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW SMITH (CEO)
(208) 534-8303
Entity
Organization
Contact information
Practice address
1832 EXPLORER CT, FRANKLIN, IN 46131-6982
(208) 534-8303
Mailing address
3270 E 17TH ST # 261, AMMON, ID 83406-6758
(208) 534-8303
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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