Organization
ASCENT BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY EVANS (BILLING SUPERVISOR)
(208) 323-9130
Entity
Organization
Contact information
Practice address
366 SW 5TH AVE, SUITE 100, MERIDIAN, ID 83642-8600
(208) 323-9130
(208) 323-9070
Mailing address
366 SW 5TH AVE, SUITE 100, MERIDIAN, ID 83642-8600
(208) 323-9130
(208) 323-9070
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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