Fulfilling Hope Human Services LLC

NPI #1740051325 in Rathdrum, Idaho

Provider Information

NPI Number: 1740051325
Entity Type: Organization
Organization Name: Fulfilling Hope Human Services LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jan 11, 2024
Last Updated: Jan 11, 2024

Practice Location

Address: 15464 N VERNON ST
City: Rathdrum
State: Idaho
ZIP Code: 83858-8363
Phone: (208) 252-5235

Authorized Official

Name: ANDREA MCCLURE, LCSW
Title: OWNER
Phone: (208) 252-5235

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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