Open Mind Wellness
NPI #1699155457 in Dalton Gardens, Idaho
Provider Information
- NPI Number
- 1699155457
- Entity Type
- Organization
- Organization Name
- Open Mind Wellness
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 5, 2015
- Last Updated
- Jun 5, 2015
Practice Location
- Address
- 5920 N GOVERNMENT WAY
- Address 2
- #4
- City
- Dalton Gardens
- State
- Idaho
- ZIP Code
- 83815-9200
- Phone
- (208) 819-0550
Authorized Official
- Name
- MICHAEL DANIEL GARCIA, LPC
- Title
- OWNER
- Phone
- (208) 819-0550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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