Cultivation, LLC
NPI #1295353217 in Coeur D'alene, Idaho
Provider Information
- NPI Number
- 1295353217
- Entity Type
- Organization
- Organization Name
- Cultivation, LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jul 7, 2020
- Last Updated
- Jul 7, 2020
Practice Location
- Address
- 211 E. COEUR DALENE AVE. STE 102
- City
- Coeur D'alene
- State
- Idaho
- ZIP Code
- 83814
- Phone
- (208) 699-6817
Authorized Official
- Name
- KARLY IRELAND
- Title
- OFFICE MANAGER/ADMIN SUPERVISOR
- Phone
- (208) 699-6817
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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