| NPI | 1437208899 |
|---|---|
| Doing Business As | ALPINE BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | BRADLEY MIDGETT Owner 208-672-0260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 305S00000X Point of Service (Licence: ID LCSW-24969) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2022-01-20 |