Organization
COMMUNITY SERVICES COUNSELING
Active
Organization
COMMUNITY SERVICES COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS HARDZIEJ (DIRECTOR)
(208) 336-6792
Entity
Organization
Contact information
Practice address
963 S ORCHARD ST, SUITE B, BOISE, ID 83705-1939
(208) 336-6792
Mailing address
963 S ORCHARD ST, SUITE B, BOISE, ID 83705-1939
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
LMSW-29111
ID
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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