Organization
IDACARE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAWN J BRILEY LCSW (DIRECTOR)
(208) 451-0101
Entity
Organization
Contact information
Practice address
2206 N COLE RD, BOISE, ID 83704-7313
(208) 451-0101
Mailing address
PO BOX 1127, MCCALL, ID 83638-1127
(208) 451-0101
(888) 634-3108
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-28826
ID
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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