Organization
PEACEFUL MIND PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSI SHELLY NP (PRESIDENT)
(208) 720-9670
Entity
Organization
Contact information
Practice address
2594 S SWALLOWTAIL LN, BOISE, ID 83706-6131
(208) 720-9670
Mailing address
2594 S SWALLOWTAIL LN, BOISE, ID 83706-6131
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/18/2022
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