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Organization
ARDEN HOUSE LLC
Active
Organization
ARDEN HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMILA GILLIAM (ADMINISTRATOR)
(208) 671-2500
Entity
Organization
Contact information
Practice address
2720 STOLL CT, CALDWELL, ID 83607-5053
(208) 671-2500
Mailing address
2720 STOLL CT, CALDWELL, ID 83607-5053
(208) 671-2500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
NULL
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NULL
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NULL
323P00000X
Psychiatric Residential Treatment Facility
—
NULL
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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