Organization
SNAKE RIVER REHABILITATION COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA LEE CUNNINGHAM (OFFICE MANAGER)
(208) 743-5101
Entity
Organization
Contact information
Practice address
1630 23RD AVE STE 301B, LEWISTON, ID 83501-6357
(208) 743-5101
(208) 746-5282
Mailing address
1630 23RD AVE STE 301B, LEWISTON, ID 83501-6357
(208) 743-5101
(208) 746-5282
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/02/2007
Last updated
08/22/2020
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