Organization
ASPIRE INTEGRATIVE MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA G MEDRANO PMHNP (NURSE PRACTITIONER)
(361) 331-4212
Entity
Organization
Contact information
Practice address
3142 W BELLTOWER DR, MERIDIAN, ID 83646-4882
(208) 598-6348
Mailing address
3142 W BELLTOWER DR, MERIDIAN, ID 83646-4882
(208) 598-6348
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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