Organization
HELPING HANDS OUTREACH INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC RAYMONDO DAVENPORT (OWNER/PRESIDENT)
(208) 954-1523
Entity
Organization
Contact information
Practice address
4296 E STONEBRIDGE DR, MERIDIAN, ID 83642
(208) 954-1523
(417) 521-5625
Mailing address
4296 E STONEBRIDGE DR, MERIDIAN, ID 83642-8922
(208) 954-1523
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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