DYNOVION COGNITIVE WELLNESS, LLC

BOISE, ID
NPI1619760501
Entity TypeOrganization
Authorized ContactTIMOTHY J HOEKSTRA
CEO
208-964-7189
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2025-05-23
Last Update Date2025-05-23
Business Address
DYNOVION COGNITIVE WELLNESS, LLC
12550 W EXPLORER DR
BOISE, ID 83713-1826
Phone number: 986-230-2245
Mailing Address
DYNOVION COGNITIVE WELLNESS, LLC
14233 SILVER RIDGE RD
CALDWELL, ID 83607-5448
Phone number: 208-964-7189