MOUNTAIN HOME
NPI 1891047296
Clinic/Center - Adolescent and Children Mental Health in Mountain Home, ID
- Organization
- Clinic/Center
- Adolescent and Children Mental Health
About MOUNTAIN HOME
This page provides the complete NPI Profile along with additional information for Mountain Home, a provider established in Mountain Home, Idaho operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1891047296 assigned on October 2012. The practitioner's primary taxonomy code is 261QM0855X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Mountain Home. The authorized official of this NPI record is Mr. Chris Banken (Sr. Vice Prsident Of Operations)
- NPI
- 1891047296 Verify this NPI
- Provider Legal Name
- SEQUEL TSI OF IDAHO, LLC
- Other Organization Name
- MOUNTAIN HOME
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2850 INDUSTRIAL WAY MOUNTAIN HOME, ID 83647
- Location Phone
- (208) 587-2679
- Mailing Address
- 2850 INDUSTRIAL WAY MOUNTAIN HOME, ID 83647
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-09-2012
- Last Update Date
- 10-09-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Adolescent and Children Mental Health
- Taxonomy Code
- 261QM0855X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
MOUNTAIN HOME, ID 83647
MOUNTAIN HOME, ID 83647
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891047296, enumerated as an "organization" on October 09, 2012.
The provider is located at 2850 INDUSTRIAL WAY MOUNTAIN HOME, ID 83647 and the phone number is (208) 587-2679.
Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.
