Organization
PSYCHIATRIC EXCELLENCE INSTITUTE
Active
Other names
ADD Excellence Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY BASTAR PMHNP-BC (PROVIDER)
(208) 419-5300
Entity
Organization
Contact information
Practice address
58 W CHRISFIELD DR, MERIDIAN, ID 83646-3255
(208) 419-5300
Mailing address
58 W CHRISFIELD DR, MERIDIAN, ID 83646-3255
(208) 419-5300
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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