Organization
ADDICTION TREATMENT CENTERS OF IDAHO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW F SMITH (EXECUTIVE DIRECTOR)
(208) 534-8303
Entity
Organization
Contact information
Practice address
211 S. WOODRUFF AVENUE, IDAHO FALLS, ID 83401
(208) 534-8303
(208) 575-0300
Mailing address
211 S. WOODRUFF AVENUE, IDAHO FALLS, ID 83401
(208) 534-8303
(208) 575-0300
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
10221
ID
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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