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1720636681
SOAR BEHAVIOR SERVICES IDAHO
COEUR D ALENE, ID
NPI
1720636681
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Entity Type
Organization
Authorized Contact
JAMES MATTHEWS
Executive Director
208-500-0567
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2019-09-03
Last Update Date
2019-09-03
Business Address
SOAR BEHAVIOR SERVICES IDAHO
2501 E SHERMAN AVE APT 415
COEUR D ALENE, ID 83814-5855
Phone number: 208-500-0567
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Mailing Address
SOAR BEHAVIOR SERVICES IDAHO
2501 E SHERMAN AVE APT 415
COEUR D ALENE, ID 83814-5855
Phone number: 208-500-0567
Copy
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