Organization
DAISY HOPE BEHAVIORAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY COPPA BCBA (AGENCY DIRECTOR)
(208) 242-8839
Entity
Organization
Contact information
Practice address
3254 N 10TH ST, COEUR D ALENE, ID 83815-5060
(208) 242-8839
Mailing address
PO BOX 179, COEUR D ALENE, ID 83816-0179
(208) 242-8839
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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