Organization
ACCESS BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICCOLIA L TANGEN (OWNER)
(208) 713-2424
Entity
Organization
Contact information
Practice address
1276 W. RIVER ST, SUITE 100, BOISE, ID 83702
(208) 338-4699
(208) 322-4722
Mailing address
1276 W. RIVER ST, SUITE 100, BOISE, ID 83702
(208) 338-4699
(208) 322-4722
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807046500
—
ID
Enumeration date
01/25/2007
Last updated
04/26/2012
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