Organization
FAMILY SERVICES COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HECTOR DE LEON LSW, MSW, CADC (EXECUTIVE DIRECTOR)
(208) 454-5133
Entity
Organization
Contact information
Practice address
704 ALBANY ST, CALDWELL, ID 83605-3501
(208) 454-5133
(208) 454-0749
Mailing address
704 ALBANY ST, CALDWELL, ID 83605-3501
(208) 454-5133
(208) 454-0749
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
6817
ID
251S00000X
Community/Behavioral Health Agency
Primary
6817
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6817
SUBSTANCE ABUSE TREATMENT
ID
Enumeration date
09/18/2013
Last updated
09/18/2013
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