Organization
JOINT POWERS ENTITY
Active
Other names
Allumbaugh House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BEITER (CHAIRMAN, MAYOR CITY OF BOISE)
(208) 384-4422
Entity
Organization
Contact information
Practice address
400 N ALLUMBAUGH ST, BOISE, ID 83704-9209
(208) 377-9669
(208) 377-1028
Mailing address
400 N ALLUMBAUGH ST, BOISE, ID 83704-9209
(208) 377-9669
(208) 377-1028
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
—
ID
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
ID
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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