Organization
ALL SEASONS MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE MILLER (OFFICE MANAGER)
(208) 321-0634
Entity
Organization
Contact information
Practice address
8050 W RIFLEMAN ST STE 100, BOISE, ID 83704-9006
(208) 321-0634
Mailing address
8050 W RIFLEMAN ST STE 100, BOISE, ID 83704-9006
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
ID-30519
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265565477
—
ID
Enumeration date
01/26/2011
Last updated
01/26/2011
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