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Organization

NVIEW BEHAVIORAL HEALTH CLINIC OF IDAHO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KIMBERLY KAY CORDERO LCSW (OWNER)
(208) 249-7014
Entity
Organization

Contact information

Practice address
533 E RIVERSIDE DR STE 120, EAGLE, ID 83616-6585
(208) 906-3644
Mailing address
13213 N DECHAMBEAU WAY, BOISE, ID 83714-9429
(208) 249-7014

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
37650
ID

Other

Enumeration date
06/04/2018
Last updated
12/17/2025
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