Organization
TREASURE VALLEY BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADI C FRITTS LMSW (OWNER)
(208) 452-7705
Entity
Organization
Contact information
Practice address
131 N WHITLEY DR, FRUITLAND, ID 83619-2430
(208) 452-7705
(208) 452-7750
Mailing address
PO BOX 1022, FRUITLAND, ID 83619-1022
(208) 452-7750
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807398400
—
ID
Enumeration date
12/15/2010
Last updated
07/02/2013
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