INTENTIONAL SUPPORT, LLC

BOISE, ID
NPI1982428306
Entity TypeOrganization
Authorized ContactKATIE J GULLICKSON
Registered Agent
208-371-0641
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2024-11-12
Last Update Date2024-11-12
Business Address
INTENTIONAL SUPPORT, LLC
5840 S MANDOLIN PL
BOISE, ID 83709-6377
Phone number: 208-371-0641
Mailing Address
INTENTIONAL SUPPORT, LLC
5840 S MANDOLIN PL
BOISE, ID 83709-6377
Phone number: 208-371-0641
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