All Seasons Mental Health

NPI #1730333030 in Boise, Idaho

Provider Information

NPI Number: 1730333030
Entity Type: Organization
Organization Name: All Seasons Mental Health
Primary Specialty: Physician Assistant
Enumeration Date: Nov 13, 2008
Last Updated: Nov 13, 2008

Practice Location

Address: 8050 W RIFLEMAN ST # 100
City: Boise
State: Idaho
ZIP Code: 83704-9000
Phone: (208) 321-0634

Authorized Official

Name: LAURIE MILLER
Title: OFFICE MANAGER
Phone: (208) 321-0634

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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