Organization
A PLUS SOLUTIONS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALI J.B. BERLIN LCPC (OWNER)
(208) 678-3555
Entity
Organization
Contact information
Practice address
531 E 5TH ST, BURLEY, ID 83318-1469
(208) 678-3555
(208) 678-3556
Mailing address
PO BOX 969, BURLEY, ID 83318-0969
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124372370
—
ID
05
—
1588918817
—
ID
Enumeration date
04/01/2013
Last updated
11/11/2020
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