Organization
PEER RECOVERY SUPPORTS OF IDAHO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ROBERT BIGGINS M.ED, CADC (DIRECTOR OF OPERATIONS)
(208) 352-0535
Entity
Organization
Contact information
Practice address
963 S ORCHARD ST, SUITE 202, BOISE, ID 83705-1939
(208) 352-0535
Mailing address
963 S ORCHARD ST, SUITE 202, BOISE, ID 83705-1939
(208) 352-0535
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
ID
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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