Cultivation, LLC
NPI #1124466990 in Coeur D'alene, Idaho
Provider Information
- NPI Number
- 1124466990
- Entity Type
- Organization
- Organization Name
- Cultivation, LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 13, 2013
- Last Updated
- Jun 13, 2013
Practice Location
- Address
- 211 COEUR D'ALENE AVE STE 102
- City
- Coeur D'alene
- State
- Idaho
- ZIP Code
- 83814
- Phone
- (208) 640-0861
Authorized Official
- Name
- DAN HANKS, LPC
- Title
- OWNER
- Phone
- (208) 699-6817
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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