Provider Demographics
NPI:1427450055
Name:ADA COUNTY TREATMENT SERVICES
Entity type:Organization
Organization Name:ADA COUNTY TREATMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREATMENT COURTS DISTRICT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-287-7670
Mailing Address - Street 1:200 W FRONT ST STE 4106
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83702-7300
Mailing Address - Country:US
Mailing Address - Phone:208-287-7670
Mailing Address - Fax:208-287-7679
Practice Address - Street 1:3220 W ELDER ST
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83705-4711
Practice Address - Country:US
Practice Address - Phone:208-287-7660
Practice Address - Fax:208-287-7669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-26
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder