Canyon Creek Developmental Services
Canyon Creek Developmental Services is a Developmentally Disabled Services Day Training Agency in Caldwell, Idaho. Licensed in Idaho. Registered with an NPI since 2006.
- Licensed in
- ID
- In the registry since
- 2006
Practice location Address checks out
5214 Cleveland Blvd Ste GCaldwell, ID 83607-8713
Phone: (208) 454-6266
Fax: (208) 454-6263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmentally Disabled Services Day Training Agency (primary) | Taxonomy 251C00000X · Licence 3CANCRK123 (ID) |
|---|
Record details
| NPI number | 1477617165 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Beth Moody — Cfo · (208) 454-6266 |
| NPI enumerated | December 20, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 5214 Cleveland Blvd Ste G, Caldwell, ID 83607-8713 |
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