PACIFIC MENTAL HEALTH IDAHO LLC

CALDWELL, ID
NPI1710667142
Entity TypeOrganization
Authorized ContactJESSY HOAG
Credentialing Specialist
425-361-2273
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2023-07-20
Last Update Date2023-07-20
Business Address
PACIFIC MENTAL HEALTH IDAHO LLC
1617 CLEVELAND BLVD
CALDWELL, ID 83605-5029
Phone number: 425-582-2041
Mailing Address
PACIFIC MENTAL HEALTH IDAHO LLC
5108 196TH ST SW STE 350 C/O RXDX MEDICAL BILLING SERVICES LLC, STE 310
LYNNWOOD, WA 98036-6169
Phone number: 425-361-2273
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