Organization
ABUNDANCE BEHAVIORAL HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEVERLY PHILLIPS LSW-I (OWNER)
(208) 455-1222
Entity
Organization
Contact information
Practice address
524 CLEVELAND BLVD, STE 230, CALDWELL, ID 83605-4076
(208) 455-1222
(208) 455-2559
Mailing address
524 E CLEVELAND BLVD, STE 230, CALDWELL, ID 83605
(208) 455-1222
(208) 455-2559
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669795308
—
ID
Enumeration date
03/10/2016
Last updated
03/10/2016
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