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1104011337
ALLIED MENTAL HEALTH SERVICES, P.L.L.C.
STAR, ID
NPI
1104011337
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Entity Type
Organization
Authorized Contact
CORY L. THACKER
President/Owner
208-286-7967
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2007-09-11
Last Update Date
2007-09-11
Business Address
ALLIED MENTAL HEALTH SERVICES, P.L.L.C.
11104 W. STATE ST.
STAR, ID 83669
Phone number: 208-286-7967
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Mailing Address
ALLIED MENTAL HEALTH SERVICES, P.L.L.C.
PO BOX 545
STAR, ID 83669-0545
Phone number: 208-286-7967
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ALLIED MENTAL HEALTH SERVICES, P.L.L.C.