| The Healing Center Inc | |
|
444 Hospital Way Ste 422 Pocatello ID 83201-2744 | |
| (208) 557-9450 | |
| (208) 561-7111 |
| Full Name | The Healing Center Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 444 Hospital Way Ste 422, Pocatello, Idaho |
| Authorized Official Name and Position | Michael Jon Mendenhall (OWNER/BUSINESS ADMINISTRATOR) |
| Authorized Official Contact | 2085579450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Healing Center Inc 444 Hospital Way Ste 422 Pocatello ID 83201-2744 Ph: (208) 557-9450 | The Healing Center Inc 444 Hospital Way Ste 422 Pocatello ID 83201-2744 Ph: (208) 557-9450 |
| NPI Number | 1568109742 |
|---|---|
| Provider Enumeration Date | 05/18/2022 |
| Last Update Date | 05/18/2022 |
| Certification Date | 05/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568109742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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