| NPI Details | |
|---|---|
| NPI | 1396847109 |
| Enumeration Date | 09/02/2006 |
| Last Updated | 07/09/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | BARRY A BARRY |
| Position | DIRECTOR |
| Phone | (208) 378-0014 |
| Fax | (208) 378-7342 |
| Practice Location | |
|---|---|
| 3852 N EAGLE RD SUITE 168 BOISE ID, 83713-0750, US |
|
| Phone | (208) 378-0014 |
| Fax | (208) 378-7342 |
| Business Location | |
|---|---|
| 3852 N EAGLE RD SUITE 168 BOISE ID, 83713-0750, US |
|
| Phone | (208) 378-0014 |
| Fax | (208) 378-7342 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 101YM0800X |
| License State | |
| License Number | |
| Remove 1396847109 NPI Number | |
According to our database, Boise Valley Counseling Center, L.l.c. NPI is 1396847109, taxonomy code is 101YM0800X Boise Valley Counseling Center, L.l.c. physically located at 3852 N Eagle Rd, Boise ID, 83713-0750. NPI Number 1033115704 has the healthcare provider type.
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1396847109 NPI number is provided on an as is basis without warranty of any kind. 1396847109 is maintained by the National Plan & Provider Enumeration System. The contents of Boise Valley Counseling Center, L.l.c. are for informational purposes only.
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