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Organization

ALTA COUNSELING ASSOCIATES

Active
Parent organization
ALTA ADDICTION AND MENTAL HEALTH SERVICES
Other names
Alta Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
ALTA ADDICTION AND MENTAL HEALTH SERVICES
Authorized official
MS. COLLEEN BISHOP (EXECUTIVE DIRECTOR)
(208) 395-1713
Entity
Organization

Contact information

Practice address
5223 W OVERLAND RD, BOISE, ID 83705-2637
(208) 395-1713
(208) 395-1715
Mailing address
5223 W OVERLAND RD, BOISE, ID 83705-2637
(208) 395-1713
(208) 395-1715

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW 1100
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8063461
ID
Enumeration date
05/03/2007
Last updated
03/20/2009
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