Organization
BLACKFOOT BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDEE YOUNG LCSW (ADMINISTRATOR)
(208) 680-0542
Entity
Organization
Contact information
Practice address
75 LILAC ST, BLACKFOOT, ID 83221-1768
(208) 782-1322
(208) 782-1074
Mailing address
75 LILAC ST, BLACKFOOT, ID 83221-1768
(208) 782-1322
(208) 782-1074
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
LCSW26332
ID
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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