| Rose Center For Healing | |
| 611 Wilson Ave Ste 6a Pocatello ID 83201-5046 | |
| (208) 254-5099 | |
| (208) 254-4180 | 
| Full Name | Rose Center For Healing | 
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health | 
| Location | 611 Wilson Ave Ste 6a, Pocatello, Idaho | 
| Authorized Official Name and Position | Paisley Rose Cummings (OWNER/CLINICAL DIRECTOR) | 
| Authorized Official Contact | 2084172218 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Rose Center For Healing 611 Wilson Ave Ste 6a Pocatello ID 83201-5046 Ph: (208) 254-5099 | Rose Center For Healing 611 Wilson Ave Ste 6a Pocatello ID 83201-5046 Ph: (208) 254-5099 | 
| NPI Number | 1598515009 | 
|---|---|
| Provider Enumeration Date | 03/26/2024 | 
| Last Update Date | 10/26/2024 | 
| Certification Date | 10/26/2024 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1598515009 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary | 
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary | 
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