Organization
SNAKE RIVER REHABILITATION COUNSELING SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE FITTING (OWNER)
(208) 743-5101
Entity
Organization
Contact information
Practice address
1630 23RD AVE, # 301B, LEWISTON, ID 83501-6350
(208) 743-5101
(208) 746-5282
Mailing address
1630 23RD AVE, # 301B, LEWISTON, ID 83501-6350
(208) 743-5101
(208) 746-5282
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
08/22/2020
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