Wellformed AI

NPI 1609973577 · live from the CMS NPI Registry

Aces INC.

Social Worker, Clinical in Boise, ID. National Provider Identifier 1609973577, active.

NPI record

NPI1609973577 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location890 N Cole Rd, Boise, ID 83704
Practice phone208-322-1026
Mailing address5583 N Glenwood St, Garden City, ID 83714
EnumeratedSeptember 20, 2006
Last updatedFebruary 7, 2013
Authorized officialDonald Gross, President
Other namesPioneer Heath Resources

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Professional101YP2500X—
Social Worker, Clinical primary1041C0700X—
Community/Behavioral Health251S00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.