Provider Demographics
NPI:1942669536
Name:ECHO SPRING CENTER FOR TRANSITIONAL STUDIES
Entity Type:Organization
Organization Name:ECHO SPRING CENTER FOR TRANSITIONAL STUDIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ANKNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-267-1111
Mailing Address - Street 1:3210 KOOTENAI TRAIL RD
Mailing Address - Street 2:
Mailing Address - City:BONNERS FERRY
Mailing Address - State:ID
Mailing Address - Zip Code:83805-5721
Mailing Address - Country:US
Mailing Address - Phone:208-267-1111
Mailing Address - Fax:
Practice Address - Street 1:3210 KOOTENAI TRAIL RD
Practice Address - Street 2:
Practice Address - City:BONNERS FERRY
Practice Address - State:ID
Practice Address - Zip Code:83805-5721
Practice Address - Country:US
Practice Address - Phone:208-267-1111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-11
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDC201369320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness