Organization
INCLUDE AUTISM, INC.
Active
Organization
INCLUDE AUTISM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA WATERS (EXECUTIVE DIRECTOR)
(208) 703-2097
Entity
Organization
Contact information
Practice address
11779 W ALCOTT ST, BOISE, ID 83709-7749
(208) 703-2097
Mailing address
11779 W ALCOTT ST, BOISE, ID 83709-7749
(208) 703-2097
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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