Provider Demographics
NPI:1629107321
Name:CENTER FOR CHRISTIAN THERAPY, INC.
Entity Type:Organization
Organization Name:CENTER FOR CHRISTIAN THERAPY, INC.
Other - Org Name:CHRISTIAN COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RHINEHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-343-0441
Mailing Address - Street 1:3631 W OVERLAND RD
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83705-6033
Mailing Address - Country:US
Mailing Address - Phone:208-343-0441
Mailing Address - Fax:
Practice Address - Street 1:3631 W OVERLAND RD
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83705-6033
Practice Address - Country:US
Practice Address - Phone:208-343-0441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID1629107321OtherMULTIDISCIPLINARY GROUP