Open Mind Wellness | |
5920 N Government Way #4 Dalton Gardens ID 83815-9200 | |
(208) 819-0550 | |
Not Available |
Full Name | Open Mind Wellness |
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Speciality | Community/behavioral Health |
Location | 5920 N Government Way, Dalton Gardens, Idaho |
Authorized Official Name and Position | Michael Daniel Garcia (OWNER) |
Authorized Official Contact | 2088190550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Open Mind Wellness 5920 N Government Way #4 Dalton Gardens ID 83815-9200 Ph: (208) 819-0550 | Open Mind Wellness 5920 N Government Way #4 Dalton Gardens ID 83815-9200 Ph: (208) 819-0550 |
NPI Number | 1699155457 |
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Provider Enumeration Date | 06/05/2015 |
Last Update Date | 06/05/2015 |
Identifier | Type | State | Issuer |
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1699155457 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | LPC-5123 (Idaho) | Primary |
Cda Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5920 N Government Way Ste 4, Dalton Gardens, ID 83815 Phone: 509-989-4935 Fax: 208-601-6162 | |
Diversified Social Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5624 N Government Way Ste 7b, Dalton Gardens, ID 83815 Phone: 208-762-9890 Fax: 208-762-9892 |