Organization
THE FAMILY TABLE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER AMES HEINDEL (CEO)
(208) 855-9302
Entity
Organization
Contact information
Practice address
1005 E FRANKLIN RD, MERIDIAN, ID 83642-5951
(208) 855-9302
(208) 855-9303
Mailing address
PO BOX 39, MERIDIAN, ID 83680-0039
(208) 855-9302
(208) 855-9303
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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