# ARDEN HOUSE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952192734
- **Authorized official:** JAMILA GILLIAM (ADMINISTRATOR)
- **Authorized official phone:** (208) 671-2500

## Contact information

- **Practice address:** 2720 STOLL CT, CALDWELL, ID 83607-5053
- **Practice address phone:** (208) 671-2500
- **Mailing address:** 2720 STOLL CT, CALDWELL, ID 83607-5053
- **Mailing address phone:** (208) 671-2500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 05/13/2025
- **Last updated:** 05/13/2025