Organization
PRIMARY BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI OLSON (OWNER)
(208) 713-1065
Entity
Organization
Contact information
Practice address
8620 W EMERALD ST STE 170, BOISE, ID 83704-4827
(120) 871-3106
Mailing address
8620 W EMERALD ST STE 170, BOISE, ID 83704-4827
(120) 871-3106
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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