Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Idaho Youth Ranch

Organization Adolescent and Children Mental Health Clinic/Center · NPI 1952738262

Idaho Youth Ranch is an Adolescent and Children Mental Health Clinic/Center in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2013.

Licensed in
ID
In the registry since
2013
Specialties on file
5
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Practice location Address checks out

5465 W Irving St
Boise, ID 83706-1213
Phone: (208) 377-2613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adolescent and Children Mental Health Clinic/Center (primary) Taxonomy 261QM0855X
Emotionally Disturbed Childrens' Residential Treatment Facility Taxonomy 322D00000X
Psychiatric Residential Treatment Facility Taxonomy 323P00000X
Substance Abuse Rehabilitation Facility Taxonomy 324500000X (ID)
Child Mental Illness Respite Care Taxonomy 385HR2055X

Record details

NPI number1952738262
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Thomas — Cfo · (208) 377-2613
NPI enumeratedOctober 1, 2013
Last updated in NPPESApril 6, 2023
Certification dateApril 6, 2023
Mailing address5465 W Irving St, Boise, ID 83706-1213

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