ACJCS

BOISE, ID
NPI1811374432
Entity TypeOrganization
Authorized ContactWENDY SEAGRAVES
Clinical Supervisor
208-287-5624
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: ID  22)
Enumeration Date2015-05-04
Last Update Date2015-05-04
Business Address
ACJCS
400 N BENJAMIN LN
BOISE, ID 83704-5094
Phone number: 208-387-5600
Mailing Address
ACJCS
400 N BENJAMIN LN
BOISE, ID 83704-5094
Phone number: 208-387-5600
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