Organization
DIVERSIFIED SOCIAL SERVICES, INC.
Active
Organization
DIVERSIFIED SOCIAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTINA NICHOLAS LSW (PROGRAM MANAGER/PRESIDENT)
(208) 762-9890
Entity
Organization
Contact information
Practice address
6640 N GOVT WAY, SUITE B, DALTON GARDENS, ID 83815-8702
(208) 762-9890
(208) 762-9892
Mailing address
6640 N GOVT WAY, SUITE B, DALTON GARDENS, ID 83815-8702
(208) 762-9890
(208) 762-9892
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/06/2005
Last updated
08/22/2020
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