Sequel Tsi of Idaho, LLC

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1073843868

Sequel Tsi of Idaho, LLC is an Emotionally Disturbed Childrens' Residential Treatment Facility in Mountain Home, Idaho. Registered with an NPI since 2009.

In the registry since: 2009

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

2850 Industrial Way
Mountain Home, ID 83647-3960
Phone: (208) 587-2679
Fax: (208) 587-2875

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary)	Taxonomy 322D00000X

Record details

NPI number	1073843868
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	John Stupak — President · (267) 419-8913
Other names	Mountain Home Rtc
NPI enumerated	December 30, 2009
Last updated in NPPES	December 30, 2009
Mailing address	2850 Industrial Way, Mountain Home, ID 83647-3960