| Maitri House Yoga, Llc | |
|
1310 W Hays St Boise ID 83702-5025 | |
| (503) 962-9025 | |
| Not Available |
| Full Name | Maitri House Yoga, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1310 W Hays St, Boise, Idaho |
| Authorized Official Name and Position | Michael P Saprio (OWNER) |
| Authorized Official Contact | 5039629025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maitri House Yoga, Llc 709 S Phillippi St Boise ID 83705-1163 Ph: (503) 962-9025 | Maitri House Yoga, Llc 1310 W Hays St Boise ID 83702-5025 Ph: (503) 962-9025 |
| NPI Number | 1689116246 |
|---|---|
| Provider Enumeration Date | 11/14/2016 |
| Last Update Date | 12/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689116246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY 202991 (Idaho) | Primary |
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