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RELIANCE MENTAL HEALTH, PC

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Company Details

Name: RELIANCE MENTAL HEALTH, PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 29 Mar 2004 (21 years ago)
Financial Date End: 31 Mar 2010
Date dissolved: 08 Jun 2010
Entity Number: 467841
Place of Formation: IDAHO
File Number: 0000467841
ZIP code: 83402
County: Bonneville County
Mailing Address: 447 PARK AVE IDAHO FALLS, ID 83402

National Provider Identifier

NPI Number:
1679791479

Authorized Person:

Name:
MS. PARRIS ALLEN
Role:
OFFIC MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
251B00000X - Case Management Agency
Is Primary:
Yes

Contacts:

Fax:
2085358339

Filing

Filing Name Filing Number Filing date
Application for Reinstatement 0002964436 2009-06-18
Application for Reinstatement 0000907388 2009-06-12
Annual Report 0002964435 2008-02-15
Annual Report 0002964434 2007-05-25
Annual Report 0002964433 2006-03-30

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State