| Idaho Anti-trafficking Coalition | |
|
925 N Main St Meridian ID 83642-2301 | |
| (208) 600-2184 | |
| Not Available |
| Full Name | Idaho Anti-trafficking Coalition |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 925 N Main St, Meridian, Idaho |
| Authorized Official Name and Position | Jennifer Zeilinski (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2086306601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Anti-trafficking Coalition 868 E Riverside Dr Ste 170 Eagle ID 83616-6025 Ph: (208) 630-6601 | Idaho Anti-trafficking Coalition 925 N Main St Meridian ID 83642-2301 Ph: (208) 600-2184 |
| NPI Number | 1376103713 |
|---|---|
| Provider Enumeration Date | 06/18/2019 |
| Last Update Date | 02/12/2020 |
| Certification Date | 02/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376103713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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