| NPI | 1417442484 |
|---|---|
| Other Name | ACHIEVING FAMILY WELLNESS LLC |
| Entity Type | Organization |
| Authorized Contact | KATY SIMMONS Credentialing/Billing 208-452-6580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: ID 37239) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2018-06-22 |