Addiction Treatment Centers of Idaho

NPI #1447641543 in Ammon, Idaho

Provider Information

NPI Number
1447641543
Entity Type
Organization
Organization Name
Addiction Treatment Centers of Idaho
Primary Specialty
Community/Behavioral Health
Enumeration Date
Feb 10, 2015
Last Updated
Feb 10, 2015

Practice Location

Address
5130 TREYDEN DR
City
Ammon
State
Idaho
ZIP Code
83406-8190
Phone
(208) 534-8303

Authorized Official

Name
MATTHEW FRANCES SMITH
Title
OFFICE MANAGER
Phone
(208) 534-8303

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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