NPI | 1336899772 |
---|---|
Doing Business As | HERITAGE HEALTH |
Entity Type | Organization |
Authorized Contact | MICHAEL BAKER CEO 208-292-0256 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
1041C0700X Social Worker, Clinical | |
207Q00000X Family Medicine | |
101YS0200X Counselor, School | |
103T00000X Psychologist | |
104100000X Social Worker | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2022-03-28 |
Last Update Date | 2022-05-16 |