| Aomalley Llc | |
|
2780 S Perrault Way Boise ID 83716-5594 | |
| (307) 251-2014 | |
| Not Available |
| Full Name | Aomalley Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2780 S Perrault Way, Boise, Idaho |
| Authorized Official Name and Position | Anna Omalley (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 3072512014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aomalley Llc 2780 S Perrault Way Boise ID 83716-5594 Ph: (307) 251-2014 | Aomalley Llc 2780 S Perrault Way Boise ID 83716-5594 Ph: (307) 251-2014 |
| NPI Number | 1053155499 |
|---|---|
| Provider Enumeration Date | 06/20/2024 |
| Last Update Date | 08/12/2024 |
| Certification Date | 08/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053155499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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