| NPI | 1962268938 |
|---|---|
| Doing Business As | CENTRAL IDAHO WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | JOLYNE DICKINSON Office Manager 208-316-6424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-02-26 |