| Living Water Youth Ranch | |
|
8382 N Wayne Dr Ste 201 Hayden ID 83835-6028 | |
| (208) 762-8777 | |
| Not Available |
| Full Name | Living Water Youth Ranch |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8382 N Wayne Dr Ste 201, Hayden, Idaho |
| Authorized Official Name and Position | Marissa Mccreary (OFFICE MANAGER) |
| Authorized Official Contact | 2089811992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Water Youth Ranch 8382 N Wayne Dr Ste 201 Hayden ID 83835-6028 Ph: (208) 762-8777 | Living Water Youth Ranch 8382 N Wayne Dr Ste 201 Hayden ID 83835-6028 Ph: (208) 762-8777 |
| NPI Number | 1528795093 |
|---|---|
| Provider Enumeration Date | 08/04/2022 |
| Last Update Date | 08/04/2022 |
| Certification Date | 08/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528795093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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