OPEN SPACE MENTAL HEALTH LLC

IDAHO FALLS, ID
NPI1235947524
Entity TypeOrganization
Authorized ContactBENJAMIN G RAE
Owner
307-690-2938
Organization Subpart ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
Enumeration Date2024-12-19
Last Update Date2024-12-19
Business Address
OPEN SPACE MENTAL HEALTH LLC
530 S HOLMES AVE
IDAHO FALLS, ID 83401-5056
Phone number: 307-690-2938
Mailing Address
OPEN SPACE MENTAL HEALTH LLC
PO BOX 955
WILSON, WY 83014-0955
Phone number: 307-690-2938