Organization
BEHAVIOR STRATEGIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY I BOW BA (OWNER)
(208) 308-8585
Entity
Organization
Contact information
Practice address
202 14TH AVE E, GOODING, ID 83330-1829
(208) 308-8585
(208) 934-4688
Mailing address
202 14TH AVE E, GOODING, ID 83330-1829
(208) 308-8585
(208) 934-4688
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8073575
—
ID
Enumeration date
04/08/2007
Last updated
08/22/2020
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