Abundance Behavioral Health Services Inc.

LBN: Abundance Behavioral Health Services Inc.
Abundance Behavioral Health Services Inc. is an health care organization with primary practice located at 201 N 21St Ave , Caldwell ID 83605-4371. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Abundance Behavioral Health Services Inc. can be contacted via phone (208) 455-1222, or through Legge, Molly Virginia via phone (208) 455-1222.

Contact Information

Primary practice address
201 N 21St Ave Caldwell ID 83605-4371
Phone: (208) 455-1222
Fax: (208) 455-2559
Website:
Map and Directions
Authorized official contact:
Name: Legge, Molly Virginia C.C.R.C.
Phone: (208) 455-1222

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1669775060
LBN Legal business name Abundance Behavioral Health Services Inc.
DBA Doing business as
Authorized official Legge, Molly Virginia C.C.R.C.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2010
Last updated Dec 8th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669775060 NPPES
Idaho MEDICAID 1669795308
Idaho MEDICAID 1891913125
Idaho MEDICAID 1659590727

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