NPI 1710766159

Healthy Mind Behavioral Health Clinic LLC

Organisation Child & Family Psychiatric/Mental Health Clinical Nurse Specialist Boise, ID

Practice location

Address: 9492 W Fairview Ave, Boise, ID 83704-8101
Phone: (208) 284-7100
Fax: (208) 213-3659

Authorised official

Name: Christopher Munga Gakwa
Title: Pmhnp
Phone: (208) 284-7100

Registered specialties

Child & Family Psychiatric/Mental Health Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0810X

Other Clinical Nurse Specialist providers in Idaho →

Registry record

NPI: 1710766159
Entity type: Organization
NPI issued: 25 Sep 2023
Record last updated: 4 Sep 2024

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.