Mountain States Group, INC

NPI #1225258007 in Boise, Idaho

Provider Information

NPI Number: 1225258007
Entity Type: Organization
Organization Name: Mountain States Group, INC
Primary Specialty: Social Worker
Enumeration Date: Apr 26, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1607 W JEFFERSON ST
City: Boise
State: Idaho
ZIP Code: 83702-5111
Phone: (208) 336-5533

Authorized Official

Name: MR. HARTZELL COBBS
Title: EXECUTIVE DIRECTOR
Phone: (208) 336-5533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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