Organization
CULTIVATION, LLC
Active
Other names
Cultivation Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DAN HANKS LPC (OWNER)
(208) 699-6817
Entity
Organization
Contact information
Practice address
211 COEUR D'ALENE AVE STE 102, COEUR D'ALENE, ID 83814
(208) 640-0861
Mailing address
211 COEUR D'ALENE AVE STE 102, COEUR D'ALENE, ID 83814
(208) 640-0861
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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