Organization
SUFFICIENCY ADVOCATE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM MICHAEL LAWRENCE (OWNER)
(208) 587-2900
Entity
Organization
Contact information
Practice address
235 N 3RD E, MOUNTAIN HOME, ID 83647-2734
(208) 587-2900
(208) 587-2992
Mailing address
PO BOX 513, MOUNTAIN HOME, ID 83647-0513
(208) 587-2900
(208) 587-2992
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8060918
—
ID
Enumeration date
10/02/2013
Last updated
10/02/2013
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