Organization
VALLEY TREATMENT SPECIALTIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTAL A NYSTROM LCPC (PARTNER/CLINICIAN)
(208) 791-0129
Entity
Organization
Contact information
Practice address
1020 MAIN ST, LEWISTON, ID 83501-1842
(208) 791-0129
Mailing address
2901 MEADOWLARK DR, LEWISTON, ID 83501-9668
(208) 791-0129
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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