| Ideal Mental Health, Llc | |
|
16 12th Ave S Suite 216 Nampa ID 83651-3936 | |
| (208) 468-1511 | |
| (208) 468-1599 |
| Full Name | Ideal Mental Health, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 16 12th Ave S, Nampa, Idaho |
| Authorized Official Name and Position | Irma Molina Ruby (MANAGER) |
| Authorized Official Contact | 2084681511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Mental Health, Llc 16 12th Ave S Suite 216 Nampa ID 83651-3936 Ph: (208) 468-1511 | Ideal Mental Health, Llc 16 12th Ave S Suite 216 Nampa ID 83651-3936 Ph: (208) 468-1511 |
| NPI Number | 1770646820 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770646820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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