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
165 WEST MAIN ST, LAVA HOT SPRINGS, ID 83246
(208) 776-5125
(866) 287-2315
Mailing address
PO BOX 404, LAVA HOT SPRINGS, ID 83246-0404
(208) 776-5125
(866) 287-2315
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
LCSW-29011
ID
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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