Organization
ABUNDANCE BEHAVIORAL HEALTH SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEVERLY PHILLIPS LSW I (OWNER DIRECTOR)
(208) 455-1222
Entity
Organization
Contact information
Practice address
524 CLEVELAND BLVD STE 230, CALDWELL, ID 83605-4080
(208) 455-1222
(208) 455-2559
Mailing address
524 CLEVELAND BLVD STE 230, CALDWELL, ID 83605-4080
(208) 455-1222
(208) 455-2559
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ZC217184C
ID
Other
Enumeration date
04/23/2007
Last updated
06/04/2013
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