Diversified Social Services, Inc.

NPI #1831183888 in Dalton Gardens, Idaho

Provider Information

NPI Number: 1831183888
Entity Type: Organization
Organization Name: Diversified Social Services, Inc.
Primary Specialty: Case Management
Enumeration Date: Sep 6, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 6640 N GOVT WAY
Address 2: SUITE B
City: Dalton Gardens
State: Idaho
ZIP Code: 83815-8702
Phone: (208) 762-9890

Authorized Official

Name: MS. KRISTINA NICHOLAS, LSW
Title: PROGRAM MANAGER/PRESIDENT
Phone: (208) 762-9890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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