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CENTER FOR BEHAVIORAL HEALTH IDAHO INC. NPI 1811421548


NPI Information

NPI: 1811421548
Provider Name: CENTER FOR BEHAVIORAL HEALTH IDAHO, INC.
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
2275 S EAGLE RD
SUITE 190
MERIDIAN, ID
ZIP 83642
Phone: (208) 288-0649
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CENTER FOR BEHAVIORAL HEALTH IDAHO, INC. is a methadone clinic center in Meridian, ID. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. CENTER FOR BEHAVIORAL HEALTH IDAHO, INC. NPI is 1811421548. The provider is registered as an organization entity type.

The provider's business location address is:

2275 S EAGLE RD
SUITE 190
MERIDIAN, ID
ZIP 83642-079
Phone: (208) 288-0649

The provider's authorized official is Brant Massman .
The authorized official title is Sec/treas. and has the following contact phone number (208) 367-9446.

The enumeration date for this NPI number is 4/19/2017 and was last updated on 4/19/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2800XClinic/CenterMethadoneYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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