Organization
IDAHO FEDERTION OF FAMILIES
Active
Other names
The Brick House
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA MARTELLE LCSW (PROGRAM DEVELOPMENT DIRECTOR)
(208) 433-8845
Entity
Organization
Contact information
Practice address
704 N 7TH ST, BOISE, ID 83702-5503
(208) 433-8845
(208) 433-8337
Mailing address
704 N 7TH ST, BOISE, ID 83702-5503
(208) 433-8845
(208) 433-8337
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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