Organization
MENTAL HEALTH SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RIC BOYCE LMSW (CEO)
(208) 238-9000
Entity
Organization
Contact information
Practice address
210 W BURNSIDE AVE, CHUBBUCK, ID 83202-4916
(208) 238-9000
(208) 238-9002
Mailing address
210 W BURNSIDE AVE, CHUBBUCK, ID 83202-4916
(208) 238-9000
(208) 238-9002
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
31976
ID
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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