OrganizationActive
Community Services Counseling
NPI 1477994580 · Substance Use Disorder Rehabilitation Clinic/Center · Boise, ID
Provider details
- NPI number
- 1477994580
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Dennis Hardziej, Director
- License
- LMSW-29111 (ID)
Mailing address
963 S Orchard St
Boise, ID 83705-1939
Registry dates
- Enumerated
- 2013-07-17
- Last updated
- 2013-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.