Organization
CPF IDAHO BEHAVIORAL HEALTH, LLC
Active
Other names
Recovery Ways Idaho
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL GREEN (BILLING SUPERVISOR)
(208) 343-2737
Entity
Organization
Contact information
Practice address
2273 S. VISTA AVE, 190, BOISE, ID 83705
(208) 343-2737
(208) 343-3238
Mailing address
2273 S VISTA AVE STE 190, BOISE, ID 83705-7341
(208) 343-2737
(208) 342-3238
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
11/15/2021
Last updated
06/06/2025
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