RIVERSIDE WELLNESS, LLC

BLACKFOOT, ID
NPI1750161980
Entity TypeOrganization
Authorized ContactASHTON W HOLBROOK
Owner
208-417-9638
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2023-10-04
Last Update Date2023-10-04
Business Address
RIVERSIDE WELLNESS, LLC
167 N 710 W
BLACKFOOT, ID 83221-5380
Phone number: 208-417-9638
Mailing Address
RIVERSIDE WELLNESS, LLC
167 N 710 W
BLACKFOOT, ID 83221-5380
Phone number: 208-417-9638