Organization
ACCESS BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NIKKI TANGEN (OWNER)
(208) 322-4722
Entity
Organization
Contact information
Practice address
1276 W RIVER ST STE 100, BOISE, ID 83702-7083
(208) 322-4722
Mailing address
1276 W RIVER ST, BOISE, ID 83702-7066
(208) 322-4722
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
LPC-4515
ID
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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