| NPI | 1366007775 |
|---|---|
| Doing Business As | VETERAN COMMUNITY SUPPORT SPECIALISTS OF IDAHO |
| Doing Business As | PEER SUPPORT SPECIALISTS OF IDAHO |
| Doing Business As | MENTAL HEALTH COUNSELORS OF IDAHO |
| Doing Business As | COMMUNITY BASED SERVICES OF IDAHO |
| Entity Type | Organization |
| Authorized Contact | PATRICK KIRK Executive Director 208-801-6806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 175T00000X Peer Specialist | |
| 251S00000X | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2022-03-31 |