Organization
MOUNTAIN HOME BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REYSAN R COTTON BS RN (OWNER)
(208) 409-7122
Entity
Organization
Contact information
Practice address
1815 AMERICAN LEGION BLVD STE A, MOUNTAIN HOME, ID 83647-3166
(208) 409-7122
Mailing address
1225 E 18TH N, MOUNTAIN HOME, ID 83647-1822
(208) 409-7122
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
03/07/2022
Last updated
07/08/2025
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