Organization
MEN'S SECOND CHANCE LIVING
Active
Other names
Men's Second Chance Living
Organization subpart
No
Provider details
NPI number
Authorized official
SONYA WILANDER CADC (EXECUTIVE DIRECTOR)
(208) 481-0182
Entity
Organization
Contact information
Practice address
400 S MAIN ST STE 304B, HAILEY, ID 83333-8875
(208) 481-1018
Mailing address
PO BOX 2398, HAILEY, ID 83333-2398
(208) 481-0182
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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