Organization
ALLEGIANCE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI SUBHI ABDULWAHAB MENTAL HEALTH (OWNER)
(208) 319-4394
Entity
Organization
Contact information
Practice address
1010 N ORCHARD ST STE 1A, BOISE, ID 83706-2255
(208) 319-4394
Mailing address
1010 N ORCHARD ST STE 1A, BOISE, ID 83706-2255
(208) 319-4394
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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