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Lost River Wellness
Adult Mental Health Clinic/Center in Meridian, Idaho
NPI 1497235469

Lost River Wellness is an Adult Mental Health Clinic/Center based in Meridian, ID and is specialized in Adult Mental Health. Lost River Wellness practices in Meridian, ID. The NPI Number for Lost River Wellness is 1497235469 and holds a License No. M11538 (Idaho).

The current practice location address for Lost River Wellness is 3080 E Gentry Way Ste 100, Meridian, ID and can be reached out via phone at 208-810-2318. You can also correspond with Lost River Wellness through the mailing address at 3080 E GENTRY WAY STE 100, MERIDIAN, ID - 83642-3060 (mailing address contact number: 208-484-1447).

Location: 3080 E Gentry Way Ste 100, Meridian, ID, 83642-3060
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497235469
Provider Name
Lost River Wellness
Credential
Provider Entity Type
Organization
Address
3080 E Gentry Way Ste 100, Meridian, ID, 83642-3060
Phone Number
208-810-2318
Fax Number
Provider Enumeration Date
08/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3080 E Gentry Way Ste 100
City
Meridian
State
Idaho
Zip
83642-3060
Phone Number
208-810-2318
Fax Number
person
Provider Business Mailing Address Details
Address
3080 E Gentry Way Ste 100
City
Meridian
State
Idaho
Zip
83642-3060
Phone Number
208-810-2318
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
M11538 (Idaho)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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