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Organization

A PLUS SOLUTIONS CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KHALI BERLIN LCPC (OWNER)
(208) 678-3555
Entity
Organization

Contact information

Practice address
2311 PARK AVE STE 3, BURLEY, ID 83318-2104
(208) 678-3555
Mailing address
PO BOX 969, BURLEY, ID 83318-0969
(208) 678-3555

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
ID

Other

Enumeration date
11/08/2012
Last updated
11/29/2012
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