CAMERON STALEY PHD LLC

CHUBBUCK, ID
NPI1295589935
Entity TypeOrganization
Authorized ContactCAMERON STALEY
Manager
208-269-5475
Organization Subpart ?No
Primary Taxonomy261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date2024-04-17
Last Update Date2024-04-17
Business Address
CAMERON STALEY PHD LLC
5026 CASSIE DR
CHUBBUCK, ID 83202-5252
Phone number: 801-644-2006
Mailing Address
CAMERON STALEY PHD LLC
5026 CASSIE DR
CHUBBUCK, ID 83202-5252
Phone number: 801-644-2006
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