Whalio Doctors

NPI 1306299805

Maitri Community Services

Organisation Community/Behavioral Health Agency Meridian, ID

Practice location

Address
3709 N Locust Grove Rd Suite 100, Meridian, ID 83646-6449
Phone
(208) 957-5360
Fax
(208) 493-4331

Authorised official

Name
Lori Nicole Eaton
Title
Owner/Provider
Phone
(208) 957-5360

Registered specialties

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence 31259 (ID)

Registry record

NPI
1306299805
Entity type
Organization
NPI issued
20 Jul 2016
Record last updated
20 Jul 2016

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.