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1932856135
MOUNTAIN HOME BEHAVIORAL HEALTH LLC
MOUNTAIN HOME, ID
NPI
1932856135
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Entity Type
Organization
Authorized Contact
REYSAN R COTTON
Owner
208-409-7122
Organization Subpart ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-03-07
Last Update Date
2022-03-11
Business Address
MOUNTAIN HOME BEHAVIORAL HEALTH LLC
1815 AMERICAN LEGION BLVD STE A
MOUNTAIN HOME, ID 83647-3166
Phone number: 208-409-7122
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Mailing Address
MOUNTAIN HOME BEHAVIORAL HEALTH LLC
1225 E 18TH N
MOUNTAIN HOME, ID 83647-1822
Phone number: 208-409-7122
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