LEGACY VILLAGE OUTPATIENT ID, LLC

Substance Abuse Rehabilitation Facility · BOISE, ID

Organization Active NPI 1225721707

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Substance Abuse Rehabilitation Facility324500000X
Mental Health Clinic/Center (Including Community Mental Health Center)261QM0801X

Other Substance Abuse Rehabilitation Facility providers in Idaho

See all Substance Abuse Rehabilitation Facility providers in Idaho

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.

LEGACY VILLAGE OUTPATIENT ID, LLC — NPI 1225721707