Diversified Social Services, Inc.
NPI #1720141906 in Dalton Gardens, Idaho
Provider Information
- NPI Number
- 1720141906
- Entity Type
- Organization
- Organization Name
- Diversified Social Services, Inc.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Dec 18, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5624 N GOVERNMENT WAY STE 7B
- City
- Dalton Gardens
- State
- Idaho
- ZIP Code
- 83815-7350
- Phone
- (208) 762-9890
Authorized Official
- Name
- MRS. KRISTINA NICHOLAS ANDERSON, LSW, CPRP
- Title
- ADMINISTRATOR
- Phone
- (208) 762-9890
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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