| Idaho Trauma Therapy Llc | |
|
6126 W State St Ste 109 Boise ID 83703-2741 | |
| (208) 391-2957 | |
| Not Available |
| Full Name | Idaho Trauma Therapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6126 W State St Ste 109, Boise, Idaho |
| Authorized Official Name and Position | Hillary Dawn Cook (OWNER) |
| Authorized Official Contact | 2083912957 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Trauma Therapy Llc 6126 W State St Ste 109 Boise ID 83703-2741 Ph: (208) 391-2957 | Idaho Trauma Therapy Llc 6126 W State St Ste 109 Boise ID 83703-2741 Ph: (208) 391-2957 |
| NPI Number | 1477049492 |
|---|---|
| Provider Enumeration Date | 07/02/2018 |
| Last Update Date | 07/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477049492 | NPI | - | NPPES |
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