| 5 Pepper Inc Dba Acacia Wellness Center | |
|
353 W Iowa Ave Nampa ID 83686-2856 | |
| (208) 498-1760 | |
| Not Available |
| Full Name | 5 Pepper Inc Dba Acacia Wellness Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 353 W Iowa Ave, Nampa, Idaho |
| Authorized Official Name and Position | Deo Peppersack (NP/OWNER) |
| Authorized Official Contact | 2084981760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 5 Pepper Inc Dba Acacia Wellness Center 353 W Iowa Ave Nampa ID 83686-2856 Ph: (208) 498-1760 | 5 Pepper Inc Dba Acacia Wellness Center 353 W Iowa Ave Nampa ID 83686-2856 Ph: (208) 498-1760 |
| NPI Number | 1558660670 |
|---|---|
| Provider Enumeration Date | 03/16/2011 |
| Last Update Date | 03/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558660670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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