Organization
ABUNDANCE BEHAVIORAL HEALTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MOLLY VIRGINIA LEGGE C.C.R.C. (DIRECTOR)
(208) 455-1222
Entity
Organization
Contact information
Practice address
201 N 21ST AVE, CALDWELL, ID 83605-4371
(208) 455-1222
(208) 455-2559
Mailing address
201 N 21ST AVE, CALDWELL, ID 83605-4371
(208) 455-1222
(208) 455-2559
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659590727
—
ID
05
—
1669795308
—
ID
05
—
1891913125
—
ID
Enumeration date
12/08/2010
Last updated
12/08/2010
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