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Organization

HOPE CENTER CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARCEE JONES NCMA (CREDENTIALING ADMINISTRATOR)
(410) 824-1480
Entity
Organization

Contact information

Practice address
1111 S ORCHARD ST STE 102, BOISE, ID 83705-1961
(208) 919-4692
(410) 824-1482
Mailing address
1111 S ORCHARD ST STE 102, BOISE, ID 83705-1961
(208) 919-4692
(410) 824-1482

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
175T00000X
Peer Specialist
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
01/11/2024
Last updated
01/11/2024
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