Provider Demographics
NPI:1831654136
Name:QUEST BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:QUEST BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARLANE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-530-0199
Mailing Address - Street 1:283 S RIVERVIEW HTS
Mailing Address - Street 2:
Mailing Address - City:RUPERT
Mailing Address - State:ID
Mailing Address - Zip Code:83350-1905
Mailing Address - Country:US
Mailing Address - Phone:208-530-0199
Mailing Address - Fax:208-436-3387
Practice Address - Street 1:707 F ST
Practice Address - Street 2:
Practice Address - City:RUPERT
Practice Address - State:ID
Practice Address - Zip Code:83350-1638
Practice Address - Country:US
Practice Address - Phone:208-530-0199
Practice Address - Fax:208-436-3387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-31
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty