Organization
AFFINITY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CASSANDRE MOORE LMSW (MENTAL HEALTH CLINICIAN)
(208) 375-0752
Entity
Organization
Contact information
Practice address
8100 W EMERALD ST STE 150, BOISE, ID 83704-9057
(208) 375-0752
(208) 375-0796
Mailing address
8100 W. EMERALD 150, BOISE, ID 83704
(208) 375-0752
(208) 375-0796
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LMSW-31866
ID
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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