Organization
COMMUNITY SERVICES LLC
Active
Organization
COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS HARDZIEJ (DIRECTOR/OWNER)
(208) 880-1199
Entity
Organization
Contact information
Practice address
963 S ORCHARD ST, SUITE B, BOISE, ID 83705-1939
(208) 336-6792
(208) 336-6794
Mailing address
PO BOX 724, EAGLE, ID 83616-0724
(208) 880-1199
(208) 939-0425
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
ID
Other
Enumeration date
07/04/2013
Last updated
07/04/2013
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