Golder Enterprises Llc,

NPI #1639537012 in Rigby, Idaho

Provider Information

NPI Number: 1639537012
Entity Type: Organization
Organization Name: Golder Enterprises Llc,
Primary Specialty: Counselor - Mental Health
Enumeration Date: Feb 1, 2016
Last Updated: Feb 1, 2016

Practice Location

Address: 3867 E 12 N STE 4
City: Rigby
State: Idaho
ZIP Code: 83442-4715
Phone: (208) 754-0911

Authorized Official

Name: MARCUS BOYD OLDER, LMSW
Title: OWNER
Phone: (208) 201-8881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X
Community/Behavioral Health	251S00000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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