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Organization

WILLOW GROVE WELLNESS

Active
Other names
Willow Grove Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
JEANNE TCHAMA (OWNER)
(208) 890-4426
Entity
Organization

Contact information

Practice address
9492 W FAIRVIEW AVE, BOISE, ID 83704-8101
(208) 809-4426
Mailing address
9492 W FAIRVIEW AVE, BOISE, ID 83704-8101
(208) 890-4426

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
07/10/2025
Last updated
12/18/2025
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