| Rose Center For Healing | |
|
611 Wilson Ave Ste 6a Pocatello ID 83201-5046 | |
| (208) 254-5099 | |
| (208) 254-4180 |
| Full Name | Rose Center For Healing |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 611 Wilson Ave Ste 6a, Pocatello, Idaho |
| Authorized Official Name and Position | Paisley Rose Cummings (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 2084172218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose Center For Healing 611 Wilson Ave Ste 6a Pocatello ID 83201-5046 Ph: (208) 254-5099 | Rose Center For Healing 611 Wilson Ave Ste 6a Pocatello ID 83201-5046 Ph: (208) 254-5099 |
| NPI Number | 1598515009 |
|---|---|
| Provider Enumeration Date | 03/26/2024 |
| Last Update Date | 10/26/2024 |
| Certification Date | 10/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598515009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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