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Organization

TREASURE VALLEY BEHAVIORAL HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRADI FRITTS LMSW (OWNER /THERAPIST)
(208) 452-7705
Entity
Organization

Contact information

Practice address
131 N WHITLEY DR, FRUITLAND, ID 83619-2172
(208) 452-7705
(208) 452-7750
Mailing address
131 N WHITLEY DR., FRUITLAND, ID 83619
(208) 452-7705
(208) 452-7750

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
807398400
ID
Enumeration date
04/03/2007
Last updated
11/05/2012
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