Organization
STARR FAMILY BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JESSICA A TRENT BS (PROGRAM DIRECTOR)
(208) 908-6399
Entity
Organization
Contact information
Practice address
7161 W POTOMAC DR, SUITE A, BOISE, ID 83704-9148
(208) 908-6399
(866) 275-9883
Mailing address
7161 W POTOMAC DR, SUITE A, BOISE, ID 83704-9148
(208) 908-6399
(866) 275-9883
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW-30318
ID
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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