Organization
PRIMARY BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI OLSON (OWNER)
(208) 713-1065
Entity
Organization
Contact information
Practice address
8620 W EMERALD ST STE 170, BOISE, ID 83704-4827
(208) 713-1065
Mailing address
8620 W EMERALD ST STE 170, BOISE, ID 83704-4827
(208) 713-1065
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/12/2022
Last updated
05/11/2022
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