Organization
ASSURANCE BEHAVIORAL HEALTH, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES L FRIES BS. (CEO/MANAGER)
(208) 392-4356
Entity
Organization
Contact information
Practice address
3852 HIGHWAY 21, IDAHO CITY, ID 83631
(208) 629-6523
Mailing address
12 HIGH MOUNTAIN RD, BOISE, ID 83716-2946
(208) 392-4356
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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