| My Brother's Keeper Mbk | |
|
704 S Cole Rd Boise ID 83709-1861 | |
| (208) 339-4356 | |
| Not Available |
| Full Name | My Brother's Keeper Mbk |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 704 S Cole Rd, Boise, Idaho |
| Authorized Official Name and Position | Patti Joleen Summers (OWNER) |
| Authorized Official Contact | 2083394356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Brother's Keeper Mbk 704 S Cole Rd Boise ID 83709-1861 Ph: (208) 339-4356 | My Brother's Keeper Mbk 704 S Cole Rd Boise ID 83709-1861 Ph: (208) 339-4356 |
| NPI Number | 1952674988 |
|---|---|
| Provider Enumeration Date | 02/22/2012 |
| Last Update Date | 03/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952674988 | NPI | - | NPPES |
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