Organization
CTM ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER MOORE (CEO)
(208) 794-4990
Entity
Organization
Contact information
Practice address
9 S MIDLAND BLVD, NAMPA, ID 83651-2420
(208) 794-4990
(208) 278-2282
Mailing address
7100 S VALLEY HEIGHTS DR, BOISE, ID 83709-7093
(208) 794-4990
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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