| 4 Pillars Of Success Llc | |
|
1675 Curlew Dr Ammon ID 83406-4718 | |
| (208) 523-5319 | |
| Not Available |
| Full Name | 4 Pillars Of Success Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1675 Curlew Dr, Ammon, Idaho |
| Authorized Official Name and Position | Demi Echi-aboli (BILLING DEPARTMENT DIRECTOR) |
| Authorized Official Contact | 2083601038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 4 Pillars Of Success Llc Po Box 2106 Idaho Falls ID 83403-2106 Ph: () - | 4 Pillars Of Success Llc 1675 Curlew Dr Ammon ID 83406-4718 Ph: (208) 523-5319 |
| NPI Number | 1235826447 |
|---|---|
| Provider Enumeration Date | 04/18/2023 |
| Last Update Date | 04/18/2023 |
| Certification Date | 04/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235826447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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