Organization
INTENSIVE HEALING THERAPY, LLC.
Active
Other names
Idaho Horse Therapy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNNY URRUTIA EQUINE SPECIALIST (EXECUTIVE DIRECTOR)
(208) 280-0576
Entity
Organization
Contact information
Practice address
10424 DUCK LN, NAMPA, ID 83686-9174
(208) 280-0576
Mailing address
10424 DUCK LN, NAMPA, ID 83686-9174
(208) 280-0576
(855) 898-8002
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/20/2019
Last updated
07/22/2020
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