Organization
A NEW BEGINNING WELLNES CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE PEARL LSW (EXECUTIVE DIRECTOR)
(208) 939-3865
Entity
Organization
Contact information
Practice address
8660 W EMERALD ST, SUITE 142, BOISE, ID 83704-4825
(208) 939-3865
(208) 939-3869
Mailing address
8660 W EMERALD ST, SUITE 142, BOISE, ID 83704-4825
(208) 939-3865
(208) 939-3869
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
37406
ID
Other
Enumeration date
05/05/2014
Last updated
12/16/2014
Update your record
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