Northside Counseling And Rehab | |
801 N Lincoln Ave Jerome ID 83338-1853 | |
(208) 731-5750 | |
Not Available |
Full Name | Northside Counseling And Rehab |
---|---|
Speciality | Community/behavioral Health |
Location | 801 N Lincoln Ave, Jerome, Idaho |
Authorized Official Name and Position | Marylin Eacker (MANAGING MEMBER) |
Authorized Official Contact | 2087315750 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Northside Counseling And Rehab 801 N Lincoln Ave Jerome ID 83338-1853 Ph: (208) 731-5750 | Northside Counseling And Rehab 801 N Lincoln Ave Jerome ID 83338-1853 Ph: (208) 731-5750 |
NPI Number | 1336394683 |
---|---|
Provider Enumeration Date | 11/28/2008 |
Last Update Date | 11/28/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336394683 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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