Organization
THE TRAUMA AND ADDICTION TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW SMITH (CEO)
(208) 534-8303
Entity
Organization
Contact information
Practice address
1832 EXPLORER CT, FRANKLIN, IN 46131-6982
(208) 534-8303
Mailing address
3270 E 17TH ST # 261, AMMON, ID 83406-6758
(208) 534-8303
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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