Organization
ALCOHOLISM INTERVENTION SERVICES
Active
Other names
Ted Wenzel
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TED WENZEL CADC (OWNER)
(208) 376-0480
Entity
Organization
Contact information
Practice address
8436 W FAIRVIEW AVE, SUITE D, BOISE, ID 83704-0144
(208) 338-5249
(208) 338-5579
Mailing address
8436 W FAIRVIEW AVE, SUITE D, BOISE, ID 83704-0144
(208) 338-5249
(208) 338-5579
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
ID
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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