| Unbridled Hope Inc | |
|
4120 E 200 N Rigby ID 83442-5975 | |
| (208) 538-3450 | |
| Not Available |
| Full Name | Unbridled Hope Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4120 E 200 N, Rigby, Idaho |
| Authorized Official Name and Position | Joanna Trussel Berg (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2082017617 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Unbridled Hope Inc Po Box 372 Rigby ID 83442-0372 Ph: (208) 201-7617 | Unbridled Hope Inc 4120 E 200 N Rigby ID 83442-5975 Ph: (208) 538-3450 |
| NPI Number | 1417507377 |
|---|---|
| Provider Enumeration Date | 09/12/2019 |
| Last Update Date | 07/23/2024 |
| Certification Date | 07/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417507377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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