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Organization
GOLDER ENTERPRISES LLC,
Active
Organization
GOLDER ENTERPRISES LLC,
Active
Other names
Momentum Mental and Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS BOYD OLDER LMSW (OWNER)
(208) 201-8881
Entity
Organization
Contact information
Practice address
3867 E 12 N STE 4, RIGBY, ID 83442-4715
(208) 754-0911
(208) 228-0332
Mailing address
3867 E 12 N STE 4, RIGBY, ID 83442-4715
(208) 754-0911
(298) 228-0332
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-32292
ID
251B00000X
Case Management Agency
LMSW-32292
ID
251S00000X
Community/Behavioral Health Agency
LMSW-32292
ID
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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