Supportive Housing and Innovative Partnerships
NPI #1336901560 in Garden City, Idaho
Provider Information
- NPI Number
- 1336901560
- Entity Type
- Organization
- Organization Name
- Supportive Housing and Innovative Partnerships
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jan 24, 2024
- Last Updated
- Jan 24, 2024
Practice Location
- Address
- 305 E 37TH ST
- City
- Garden City
- State
- Idaho
- ZIP Code
- 83714-6419
- Phone
- (208) 331-0900
Authorized Official
- Name
- MR. KENNETH DALE WIDICK, LMSW
- Title
- EXECUTIVE DIRECTOR
- Phone
- (208) 412-8338
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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