OrganizationActive
Continuum Care Providers of Idaho, LLC
NPI 1194696195 · Psychiatry Physician · Meridian, ID
Provider details
- NPI number
- 1194696195
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Laura Tarantino, Evp(985) 377-2219
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2131 S Bonito Way
Meridian, ID 83642-1659
Phone: (208) 202-4700
Approximate (ZIP-level) locationGet directions
Mailing address
3905 Hedgcoxe Rd Unit 250249
Plano, TX 75025-0840
Registry dates
- Enumerated
- 2025-09-15
- Last updated
- 2025-09-15
- Certified
- 2025-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.