Organization
CATHOLIC CHARITIES OF IDAHO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW GESKE (CLINICAL SUPERVISOR)
(208) 841-3000
Entity
Organization
Contact information
Practice address
7255 W FRANKLIN RD, BOISE, ID 83709-0926
(208) 345-6031
Mailing address
PO BOX 190123, BOISE, ID 83719-0123
(208) 345-6031
(208) 350-7499
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/31/2009
Last updated
11/05/2019
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