| NPI | 1699407478 |
|---|---|
| Doing Business As | HERITAGE HEALTH |
| Entity Type | Organization |
| Authorized Contact | JILL CONTE Credentialing Specialist 208-415-0299 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103G00000X Clinical Neuropsychologist | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 1041S0200X Social Worker, School | |
| 106H00000X Marriage & Family Therapist | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2023-04-21 |