Organization · NPI-2

A New Beginning Wellnes Center

Community/Behavioral Health · Boise, ID

NPI number1235549791
StatusActive
Last updated in NPPESDec 16, 2014

Details

NPI
1235549791
Entity type
Organization (NPI-2)
Legal business name
A New Beginning Wellnes Center
Organization subpart
No
Enumeration date
May 5, 2014
Last updated
Dec 16, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health37406IDYes

Practice location

8660 W Emerald St
Suite 142
Boise, ID 83704-4825

Phone 208-939-3865 · Fax 208-939-3869

Mailing address

8660 W Emerald St
Suite 142
Boise, ID 83704-4825

Phone 208-939-3865 · Fax 208-939-3869

Authorized official

Stephanie Pearl
Executive Director
2089393865

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