| Citadel Mental Health Llc | |
|
1833 S Millenium Way Ste 100 Meridian ID 83642-1510 | |
| (208) 614-3637 | |
| Not Available |
| Full Name | Citadel Mental Health Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1833 S Millenium Way Ste 100, Meridian, Idaho |
| Authorized Official Name and Position | Verlyn Glenn (OWNER) |
| Authorized Official Contact | 5098288307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Citadel Mental Health Llc 1711 W Wood Chip St Meridian ID 83642-7322 Ph: (509) 828-8307 | Citadel Mental Health Llc 1833 S Millenium Way Ste 100 Meridian ID 83642-1510 Ph: (208) 614-3637 |
| NPI Number | 1831936848 |
|---|---|
| Provider Enumeration Date | 07/09/2024 |
| Last Update Date | 07/09/2024 |
| Certification Date | 07/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831936848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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