A FAMILY PLACE PA NPI 1043475825

NPI Information

A FAMILY PLACE PA is a mental health counselor in Boise, ID. A FAMILY PLACE PA NPI is 1043475825. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6003 W OVERLAND RD
STE 101
BOISE, ID
ZIP 83709-073
Phone: (208) 345-8861
Fax: (208) 345-2077

The provider's authorized official is Jeanne L Melton .
The authorized official title is Owner and has the following contact phone number (208) 345-8861.

The enumeration date for this NPI number is 7/22/2008 and was last updated on 7/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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