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Organization
CHERRY GULCH
Active
Organization
CHERRY GULCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW DEAN SAPP PH.D. (FOUNDER & PRESIDENT)
(208) 365-3437
Entity
Organization
Contact information
Practice address
3770 E. BLACK CANYON HWY, EMMETT, ID 83617-0678
(208) 365-3437
(208) 365-7235
Mailing address
PO BOX 678, EMMETT, ID 83617-0678
(208) 365-3437
(208) 365-7235
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
24454
ID
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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