Organization
OPTIMA HEALTH CARE SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE POTTER (OWNER)
(208) 421-8358
Entity
Organization
Contact information
Practice address
661 2ND AVE N, TWIN FALLS, ID 83301-5745
(208) 421-8358
Mailing address
3303 ASPEN RIDGE CIR, KIMBERLY, ID 83341-5511
(208) 421-8358
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/03/2020
Last updated
11/04/2024
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