Organization
CHILDREN'S HOME SOCIETY OF IDAHO
Active
Other names
Warm Springs Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS R YOUNT M.D. (COO)
(208) 343-7797
Entity
Organization
Contact information
Practice address
740 WARM SPRINGS AVE, BOISE, ID 83712-6420
(208) 343-7797
(208) 343-0064
Mailing address
740 WARM SPRINGS AVE, BOISE, ID 83712-6420
(208) 343-7797
(208) 343-0064
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010006259
REGENCE BLUE SHIELD
ID
05
—
002269500
—
ID
01
—
88567
BLUE CROSS
ID
Enumeration date
08/30/2006
Last updated
01/23/2009
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