Organization
ABOUT BALANCE MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE DOOLEY (OFFICE MANAGER)
(208) 342-6300
Entity
Organization
Contact information
Practice address
6550 EMERALD ST, SUITE 112, BOISE, ID 83704
(208) 342-6300
(208) 342-6301
Mailing address
6550 EMERALD ST, SUITE 112, BOISE, ID 83704
(208) 342-6300
(208) 342-6301
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8072938
—
ID
05
—
8072939
—
ID
05
—
8073018
—
ID
Enumeration date
05/03/2007
Last updated
05/23/2018
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