NPI 1043088511
Metamorphosis Counseling and Health Center of Idaho, LLC
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
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.