OrganizationActive
State Avenue Offices
NPI 1821344367 · Adult Mental Health Clinic/Center · Meridian, ID
Provider details
- NPI number
- 1821344367
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Camilla Cafferty, Owner
Practice location
39 E State Ave
Meridian, ID 83642-2342
Phone: (208) 994-3599
Fax: (208) 473-2206
Mailing address
39 E State Ave
Meridian, ID 83642-2342
Registry dates
- Enumerated
- 2012-08-02
- Last updated
- 2012-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.