Organization
ALL SEASONS MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE MILLER (OFFICE MANAGER)
(208) 321-0634
Entity
Organization
Contact information
Practice address
8050 W RIFLEMAN ST # 100, BOISE, ID 83704-9000
(208) 321-0634
(208) 321-1082
Mailing address
8050 W RIFLEMAN ST # 100, BOISE, ID 83704-9000
(208) 321-0634
(208) 321-1082
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002803300
—
ID
Enumeration date
12/11/2008
Last updated
12/11/2008
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