Mental Health Jiu Jitsu Pllc

NPI #1215639182 in Sandpoint, Idaho

Provider Information

NPI Number: 1215639182
Entity Type: Organization
Organization Name: Mental Health Jiu Jitsu Pllc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Mar 21, 2023
Last Updated: Nov 14, 2024

Practice Location

Address: 105 PINE ST STE 105A
City: Sandpoint
State: Idaho
ZIP Code: 83864-1369
Phone: (208) 627-9930

Authorized Official

Name: DANTE SANDRO RUMORE, LICSW
Title: OWNER/PROVIDER
Phone: (208) 627-9930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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