Galactic Tribe LLC

NPI #1093446627 in Boise, Idaho

Provider Information

NPI Number: 1093446627
Entity Type: Organization
Organization Name: Galactic Tribe LLC
Primary Specialty: Community/Behavioral Health
Enumeration Date: Jun 23, 2022
Last Updated: Jun 23, 2022

Practice Location

Address: 8100 W EMERALD ST STE 150
City: Boise
State: Idaho
ZIP Code: 83704-9057
Phone: (208) 908-6399

Authorized Official

Name: JESSICA TRENT
Title: OWNER
Phone: (208) 908-6399

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X	Primary

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