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13D2225549 CLIA NUMBER - CBH IDAHO LLC DBA BHG BOISE TREATMENT CENTER

Laboratory Demographics

CLIA Number: 13D2225549

Facility Name: CBH IDAHO LLC DBA BHG BOISE TREATMENT CENTER

Facility Address:
92 S COLE RD
BOISE, ID
ZIP 83709
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Facility Phone Number: 208 376-5021

Facility Type: Other - SUBSTANCE ABUSE TREATMENT

Certificate Type: Waiver
NPI Number: 1760738645

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name Field Value
CLIA Number 13D2225549
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name CBH IDAHO LLC DBA BHG BOISE TREATMENT CENTER
Street 92 S COLE RD
City BOISE
State ID
ZIP 83709
Phone 208 376-5021
CertificateType 4
CertificateEffectiveDate 5/21/2023
CertificateExpirationDate 5/20/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024