Organization
RBTD INC
Active
Other names
Impact
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE W HAMPTON LSW (ADMINISTRATOR)
(208) 522-8899
Entity
Organization
Contact information
Practice address
152 E MAIN ST # 106, RIGBY, ID 83442-1418
(208) 522-8899
(208) 522-6596
Mailing address
152 E MAIN ST # 106, RIGBY, ID 83442-1418
(208) 522-8899
(208) 522-6596
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/16/2007
Last updated
05/21/2008
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