Organization
AVERY'S HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA STINER (BILING DIRECTOR)
(602) 694-9643
Entity
Organization
Contact information
Practice address
10787 W USTICK RD, BOISE, ID 83713-5104
(203) 200-8556
Mailing address
11445 E VIA LINDA STE 2-617, SCOTTSDALE, AZ 85259-2655
(602) 694-9643
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/28/2023
Last updated
12/11/2025
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