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13D2268973 CLIA NUMBER - BRC MENTAL HEALTH SERVICES

Laboratory Demographics

CLIA Number: 13D2268973

Facility Name: BRC MENTAL HEALTH SERVICES

Facility Address:
963 S ORCHARD ST STE 103
BOISE, ID
ZIP 83705
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Facility Phone Number: 208 794-1134

Facility Type: Other - MENTAL HEALTH

Certificate Type: Waiver
NPI Number: 1982126264

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 13D2268973
LAB Type Other - MENTAL HEALTH
Facility Name BRC MENTAL HEALTH SERVICES
Street 963 S ORCHARD ST STE 103
City BOISE
State ID
ZIP 83705
Phone 208 794-1134
CertificateType 4
CertificateEffectiveDate 9/20/2022
CertificateExpirationDate 9/19/2024
FacilityType Waiver

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