Organization
NOVITAS ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW SAPP (EXECUTIVE DIRECTOR)
(208) 954-5085
Entity
Organization
Contact information
Practice address
2625 N PLAZA RD, EMMETT, ID 83617-9128
(208) 954-5085
Mailing address
PO BOX 580, EMMETT, ID 83617-0580
(208) 954-5065
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
41378
ID
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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