| Snake River Mental Health, Pllc | |
|
15821 Allendale Rd Wilder ID 83676-5864 | |
| (801) 664-1757 | |
| Not Available |
| Full Name | Snake River Mental Health, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 15821 Allendale Rd, Wilder, Idaho |
| Authorized Official Name and Position | Gordon Bradley Greaves (OWNER) |
| Authorized Official Contact | 8016641757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Snake River Mental Health, Pllc 15821 Allendale Rd Wilder ID 83676-5864 Ph: (801) 664-1757 | Snake River Mental Health, Pllc 15821 Allendale Rd Wilder ID 83676-5864 Ph: (801) 664-1757 |
| NPI Number | 1497565832 |
|---|---|
| Provider Enumeration Date | 01/08/2025 |
| Last Update Date | 01/08/2025 |
| Certification Date | 01/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497565832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |