| Anchor Place, Llc | |
|
13802 Quintessa St Caldwell ID 83607-5153 | |
| (801) 599-7123 | |
| Not Available |
| Full Name | Anchor Place, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 13802 Quintessa St, Caldwell, Idaho |
| Authorized Official Name and Position | Kristina Pugh (OWNER) |
| Authorized Official Contact | 8015997123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchor Place, Llc 13802 Quintessa St Caldwell ID 83607-5153 Ph: (801) 599-7123 | Anchor Place, Llc 13802 Quintessa St Caldwell ID 83607-5153 Ph: (801) 599-7123 |
| NPI Number | 1770379216 |
|---|---|
| Provider Enumeration Date | 04/18/2025 |
| Last Update Date | 04/24/2025 |
| Certification Date | 04/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770379216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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