Mountain States Chemical Dependency and Counseling Services, Inc.

NPI #1043368418 in Nampa, Idaho

Provider Information

NPI Number: 1043368418
Entity Type: Organization
Organization Name: Mountain States Chemical Dependency and Counseling Services, Inc.
Primary Specialty: Community/Behavioral Health
Enumeration Date: Jan 8, 2007
Last Updated: Jun 25, 2013

Practice Location

Address: 1305 2ND ST S
Address 2: SUITE 201
City: Nampa
State: Idaho
ZIP Code: 83651-3944
Phone: (208) 463-0202

Authorized Official

Name: MR. RUSTY O'LEARY, LCPC
Title: EXECUTIVE DIRECTOR
Phone: (208) 463-0202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X	Primary

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