OrganizationActive
All Developmental Disability Services
NPI 1396907861 · Developmental Disabilities Clinic/Center · Boise, ID
Provider details
- NPI number
- 1396907861
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michelle Mitton, Program Administrator(208) 465-5114
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1350 S Vista Ave
Boise, ID 83705-2567
Phone: (208) 424-3160
Fax: (208) 433-9794
Approximate (ZIP-level) locationGet directions
Mailing address
2717 S Kimball Ave
Caldwell, ID 83605-5623
Registry dates
- Enumerated
- 2008-06-26
- Last updated
- 2009-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.