Organization
THERAPY IN MOTION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CHARLES FLEMING LCSW (CLINICAL DIRECTOR)
(208) 776-5125
Entity
Organization
Contact information
Practice address
178 WEST MAIN STREET, LAVA HOT SPRINGS, ID 83246
(208) 776-5125
Mailing address
PO BOX 404, LAVA HOT SPRINGS, ID 83246-0404
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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