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COOK & TAFOYA-FISHER BEHAVIORAL HEALTH

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Company Details

Name: COOK & TAFOYA-FISHER BEHAVIORAL HEALTH
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 01 Aug 2005 (20 years ago)
Entity Number: 280343
Place of Formation: IDAHO
File Number: 0000280343
ZIP code: 83651
County: Canyon County
Mailing Address: 16 12TH AVE SOUTH STE 206 NAMPA, ID 83651

National Provider Identifier

NPI Number:
1700084290

Authorized Person:

Name:
MRS. CORIE SUE COOK
Role:
MENTAL HEALTH THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Fax:
2084611787

Filing

Filing Name Filing Number Filing date
Initial Filing 0000280343 2005-08-01

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State