| NPI | 1003853235 |
|---|---|
| Doing Business As | BOISE BEHAVIORAL HEALTH HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | WILLIAM A. MATHIES President Director 505-468-5013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: ID 1650 HP (Pharm)) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: ID 55) |
| 283Q00000X Psychiatric Hospital (Licence: ID 13D858805 (Lab)) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2013-01-22 |