REVIVE MENTAL WELLNESS LLC

BOISE, ID
NPI1326756347
Entity TypeOrganization
Authorized ContactJYNNAH L SNOW
Manager
208-922-8298
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
Enumeration Date2022-11-08
Last Update Date2023-01-01
Business Address
REVIVE MENTAL WELLNESS LLC
200 N 23RD ST STE 106
BOISE, ID 83702-4969
Phone number: 208-398-3351
Mailing Address
REVIVE MENTAL WELLNESS LLC
1200 N MAIN ST UNIT 1623
MERIDIAN, ID 83680-5065
Phone number: 208-398-3351
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