Organization
WOMEN'S AND CHILDREN'S ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANICE JOHNSON (EXECUTIVE DIRECTOR)
(208) 343-3688
Entity
Organization
Contact information
Practice address
720 W WASHINGTON, BOISE, ID 83702
(208) 343-3688
(208) 343-8475
Mailing address
720 W WASHINGTON, BOISE, ID 83702
(208) 343-3688
(208) 343-8475
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010005324
REGENCE BLUESHIELD OF ID
ID
01
—
8C600
BLUE CROSS OF IDAHO
ID
Enumeration date
06/26/2006
Last updated
08/22/2020
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