Whalio Doctors

NPI 1043088511

Metamorphosis Counseling and Health Center of Idaho, LLC

Organisation Peer Specialist Boise, ID

Practice location

Address
10108 W Overland Rd STE a, Boise, ID 83709-1428
Phone
(208) 376-1532
Fax
(208) 375-7251

Authorised official

Name
Crystal Michelle Miller
Title
Executive Director
Phone
(208) 890-6205

Registered specialties

Peer Specialist Primary
Other Service Providers Taxonomy 175T00000X

Registry record

NPI
1043088511
Entity type
Organization
NPI issued
14 Dec 2023
Record last updated
14 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.