| Canopy Behavioral Health, Pllc | |
|
750 W Ustick Rd Ste 120 Meridian ID 83646-6133 | |
| (208) 273-9521 | |
| (208) 502-2538 |
| Full Name | Canopy Behavioral Health, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 750 W Ustick Rd Ste 120, Meridian, Idaho |
| Authorized Official Name and Position | John William Szudera (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 2082739521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canopy Behavioral Health, Pllc 773 Dexter Dr Broomfield CO 80020-1509 Ph: (208) 273-9521 | Canopy Behavioral Health, Pllc 750 W Ustick Rd Ste 120 Meridian ID 83646-6133 Ph: (208) 273-9521 |
| NPI Number | 1861962698 |
|---|---|
| Provider Enumeration Date | 12/05/2018 |
| Last Update Date | 09/26/2024 |
| Certification Date | 09/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861962698 | NPI | - | NPPES |
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