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Organization

RIVERSIDE REHAB, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LEE BARTON III M.ED.,C.R.C (OWNER-PRESIDENT)
(208) 853-8536
Entity
Organization

Contact information

Practice address
7735 W RIVERSIDE DR, BOISE, ID 83714-6182
(208) 853-8536
(208) 853-2929
Mailing address
7711 W. RIVERSIDE DR, GARDEN CITY, ID 83714
(208) 853-8536
(208) 853-2929

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
12/06/2006
Last updated
09/11/2025
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