Organization
RIVERSIDE REHAB INC
Active
Other names
Riverside Rehab Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEROY HERSHEL BARTON M.ED., CRC (OWNER)
(208) 853-8536
Entity
Organization
Contact information
Practice address
7711 W RIVERSIDE DR, BOISE, ID 83714-6182
(208) 853-8536
(208) 853-2929
Mailing address
7711 W RIVERSIDE DR, BOISE, ID 83714-6182
(208) 853-8536
(208) 853-2929
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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