Organization
SOCIAL ADVOCATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA JO BETHKE B.S. (ADMINISTATOR)
(208) 667-2028
Entity
Organization
Contact information
Practice address
1816 W WINDSOR AVE, COEUR D ALENE, ID 83815-9484
(208) 667-2028
(208) 665-7131
Mailing address
1816 W WINDSOR AVE, COEUR D ALENE, ID 83815-9484
(208) 667-2028
(208) 665-7131
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806313000
—
ID
05
—
806313100
—
ID
Enumeration date
02/27/2007
Last updated
07/31/2008
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