| NPI | 1487334264 |
|---|---|
| Doing Business As | WATERSHED WELLNESS, LLC |
| Entity Type | Organization |
| Authorized Contact | DAVID BARTH Owner 208-304-1102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2023-07-18 |