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NPI Profile for HEALTHY MIND BEHAVIORAL HEALTH CLINIC LLC in BOISE, ID.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health, Child & Family |
364SP0810X | 89 | Certified Clinical Nurse Specialist |
| NPI # | 1710766159 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/25/2023 | |
| Last updated | 09/04/2024 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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HEALTHY MIND BEHAVIORAL HEALTH CLINIC LLC