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HUMAN SUPPORTS OF IDAHO

Organization (NPI-2) Active

Psychiatry & Neurology, Psychiatry

Provider Information

NPI Number
1922340124
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
4477 W EMERALD ST STE C-100, BOISE, ID, 837062000
Phone
(208) 454-8389
Fax
(208) 454-8404

Specialties & Taxonomies

Physician Assistant
Nurse Practitioner
Psychiatry & Neurology, Psychiatry Primary License: ID

All Addresses

LOCATION

4477 W EMERALD ST STE C-100

BOISE, ID, 837062000

(208) 454-8389

MAILING

PO BOX 820

CALDWELL, ID, 836060820

(208) 454-8389