Wiseman Group

NPI #1245589860 in Nampa, Idaho

Provider Information

NPI Number: 1245589860
Entity Type: Organization
Organization Name: Wiseman Group
Primary Specialty: Community/Behavioral Health
Enumeration Date: Aug 29, 2012
Last Updated: Aug 29, 2012

Practice Location

Address: 2422 12TH AVE RD
Address 2: 144
City: Nampa
State: Idaho
ZIP Code: 83686-6300
Phone: (208) 919-9706

Authorized Official

Name: MARK WAYNE WISEMAN, LPC
Title: OWNER
Phone: (208) 919-9706

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X
Community/Behavioral Health	251S00000X	Primary

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