Organization
CENTER FOR EXCELLENCE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS L. RATELLE PH.D. (PRESIDENT)
(208) 661-8743
Entity
Organization
Contact information
Practice address
10713 N STRAHORN RD, HAYDEN, ID 83835-9824
(208) 661-8743
Mailing address
10713 N STRAHORN RD, HAYDEN, ID 83835-9824
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY-328
ID
Other
Enumeration date
09/07/2010
Last updated
03/13/2017
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