| New Leaf Behavioral Health | |
|
144 Long Island Ave Twin Falls ID 83301-3018 | |
| (208) 421-2908 | |
| Not Available |
| Full Name | New Leaf Behavioral Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 144 Long Island Ave, Twin Falls, Idaho |
| Authorized Official Name and Position | Shelley Wray (PRESIDENT) |
| Authorized Official Contact | 2084212908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Leaf Behavioral Health 144 Long Island Ave Twin Falls ID 83301-3018 Ph: (208) 421-2908 | New Leaf Behavioral Health 144 Long Island Ave Twin Falls ID 83301-3018 Ph: (208) 421-2908 |
| NPI Number | 1912300948 |
|---|---|
| Provider Enumeration Date | 10/05/2014 |
| Last Update Date | 10/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912300948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | NP-1476A (Idaho) | Primary |
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