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Organization

COMMUNITY PARTNERSHIPS OF IDAHO, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICTORIA BRIGHT (MANAGER)
(208) 405-0587
Entity
Organization

Contact information

Practice address
3214 N ACRE LN, BOISE, ID 83704-4501
(208) 376-7846
(208) 549-7294
Mailing address
3098 N FIVE MILE RD, BOISE, ID 83713-5215
(208) 376-4999
(208) 376-4988

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8060419
ID
Enumeration date
05/03/2007
Last updated
09/09/2019
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