Organization
DIVERSIFIED SOCIAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTINA NICHOLAS ANDERSON LSW, CPRP (ADMINISTRATOR)
(208) 762-9890
Entity
Organization
Contact information
Practice address
5624 N GOVERNMENT WAY STE 7B, DALTON GARDENS, ID 83815-7350
(208) 762-9890
(208) 762-9892
Mailing address
5624 N GOVERNMENT WAY STE 7B, DALTON GARDENS, ID 83815-7350
(208) 762-9890
(208) 762-9892
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/18/2006
Last updated
08/22/2020
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