Organization
MOUNTAIN STATES CHEMICAL DEPENDENCY AND COUNSELING SERVICES, INC.
Active
Other names
Valley View Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSTY O'LEARY LCPC (EXECUTIVE DIRECTOR)
(208) 463-0202
Entity
Organization
Contact information
Practice address
1305 2ND ST S, SUITE 201, NAMPA, ID 83651-3944
(208) 463-0202
(208) 463-0205
Mailing address
1305 2ND ST SOUTH, SUITE 201, NAMPA, ID 83651-3964
(208) 463-0202
(208) 463-0205
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806878800
—
ID
05
—
806892300
—
ID
05
—
807126800
—
ID
Enumeration date
01/08/2007
Last updated
06/25/2013
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