IDAHO YOUTH RANCH NPI 1952738262

NPI Information

IDAHO YOUTH RANCH is an adolescent and children mental health clinic center in Boise, ID. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. IDAHO YOUTH RANCH NPI is 1952738262. The provider is registered as an organization entity type.

The provider's business location address is:

5465 W IRVING ST
BOISE, ID
ZIP 83706-213
Phone: (208) 377-2613

The provider's authorized official is Kimberly Thomas .
The authorized official title is Cfo and has the following contact phone number (208) 377-2613.

The enumeration date for this NPI number is 10/1/2013 and was last updated on 4/6/2023.

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:

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