Organization
EXPRESSIONS SUPPORTIVE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNE ELLEN NELSON-COX (ADMINISTRATOR)
(208) 339-8437
Entity
Organization
Contact information
Practice address
1076 A S. YELLOWSTONE HWY, SAINT ANTHONY, ID 83445-0283
(208) 339-8437
Mailing address
PO BOX 283, SAINT ANTHONY, ID 83445-0283
(208) 339-8437
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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