Organization
MALLORY MURPHY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALLORY MURPHY (OWNER)
(208) 891-6439
Entity
Organization
Contact information
Practice address
172 S ACADEMY AVE STE 150, EAGLE, ID 83616-6564
(208) 891-6439
Mailing address
172 S ACADEMY AVE STE 150, EAGLE, ID 83616-6564
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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