Crossroads Health Idaho LLC

NPI #1326680422 in Boise, Idaho

Provider Information

NPI Number: 1326680422
Entity Type: Organization
Organization Name: Crossroads Health Idaho LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CROSSROADS OF WESTERN IOWA
Primary Specialty: Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date: Oct 10, 2019
Last Updated: Oct 10, 2019

Practice Location

Address: 8950 W EMERALD ST STE 178
City: Boise
State: Idaho
ZIP Code: 83704-8296
Phone: (208) 376-7083

Authorized Official

Name: DARIAN ZIMA
Title: CFO
Phone: (712) 256-7888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Group Psychotherapy — Group Psychotherapy	103TP2701X
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X	Primary

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