| The Family Table, Inc. | |
|
1005 E Franklin Rd Meridian ID 83642-5951 | |
| (208) 855-9302 | |
| (208) 855-9303 |
| Full Name | The Family Table, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1005 E Franklin Rd, Meridian, Idaho |
| Authorized Official Name and Position | Christopher Ames Heindel (CEO) |
| Authorized Official Contact | 2088559302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Table, Inc. Po Box 39 Meridian ID 83680-0039 Ph: (208) 855-9302 | The Family Table, Inc. 1005 E Franklin Rd Meridian ID 83642-5951 Ph: (208) 855-9302 |
| NPI Number | 1023483211 |
|---|---|
| Provider Enumeration Date | 12/14/2015 |
| Last Update Date | 12/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023483211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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