Organization
BRC MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA M. WOLFE (OWNER)
(208) 890-7290
Entity
Organization
Contact information
Practice address
963 S ORCHARD ST STE 103, BOISE, ID 83705-1917
(208) 890-7290
(208) 286-9829
Mailing address
PO BOX 1349, EAGLE, ID 83616-1349
(208) 890-7290
(208) 286-9829
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/08/2017
Last updated
11/08/2019
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