| Phalanx Wellness Llc | |
|
1068 Owyhee St Kuna ID 83634-2206 | |
| (208) 917-0125 | |
| Not Available |
| Full Name | Phalanx Wellness Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1068 Owyhee St, Kuna, Idaho |
| Authorized Official Name and Position | Timothy Scott Williams (OWNER/COUNSELOR) |
| Authorized Official Contact | 2089170125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phalanx Wellness Llc 1068 Owyhee St Kuna ID 83634-2206 Ph: (208) 917-0125 | Phalanx Wellness Llc 1068 Owyhee St Kuna ID 83634-2206 Ph: (208) 917-0125 |
| NPI Number | 1346016458 |
|---|---|
| Provider Enumeration Date | 11/29/2023 |
| Last Update Date | 11/29/2023 |
| Certification Date | 11/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346016458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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