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Organization
MOUNTAIN STATES CHEMICAL DEPENDENCY AND COUNSELING SERVICES
Active
Organization
MOUNTAIN STATES CHEMICAL DEPENDENCY AND COUNSELING SERVICES
Active
Other names
Valley View Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN O'LEARY LCSW (DIRECTOR)
(208) 466-7771
Entity
Organization
Contact information
Practice address
1305 2ND ST S, SUITE 201, NAMPA, ID 83651-3944
(208) 466-7771
(208) 463-0205
Mailing address
1305 2ND ST S, SUITE 201, NAMPA, ID 83651-3944
(208) 466-7771
(208) 463-0205
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043368418
—
ID
Enumeration date
10/26/2010
Last updated
10/26/2010
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