NPI | 1346799483 |
---|---|
Doing Business As | THE HEALING SANCTUARY LLC |
Entity Type | Organization |
Authorized Contact | BECKY WATSON Billing Supervisor 208-497-0500 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2016-09-30 |
Last Update Date | 2023-12-19 |