Organization
ACES INC.
Active
Other names
Pioneer Health Resources
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD GROSS (OWNER)
(208) 322-1026
Entity
Organization
Contact information
Practice address
5583 N GLENWOOD ST, GARDEN CITY, ID 83714-1336
(208) 287-2564
Mailing address
5583 N GLENWOOD ST, GARDEN CITY, ID 83714-1336
(208) 287-2564
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
ID
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
12/22/2011
Last updated
02/07/2013
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