Organization
PHYSICIANS MENTAL HEALTH SERVICES
Active
Parent organization
ADVANCED HEALTHCARE SOLUTIONS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED HEALTHCARE SOLUTIONS, LLC
Authorized official
MR. MATTHEW ANDERSEN LPC (DIRECTOR)
(208) 232-0021
Entity
Organization
Contact information
Practice address
475 YELLOWSTONE AVE, SUITE E, POCATELLO, ID 83201-4528
(208) 478-7422
(208) 478-1515
Mailing address
1110 CALL CREEK DR, SUITE 7, POCATELLO, ID 83201-3001
(208) 232-0021
(208) 232-0031
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0314
ID
Other
Enumeration date
01/16/2013
Last updated
04/25/2016
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