Organization
CORE DYNAMICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTENE BLAIR (ADMINISTRATOR)
(208) 501-6361
Entity
Organization
Contact information
Practice address
615 ROYAL ST, CALDWELL, ID 83605-1663
(208) 501-6361
Mailing address
615 ROYAL ST, CALDWELL, ID 83605-1663
(208) 501-6361
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/02/2023
Last updated
12/09/2025
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