Organization
METAMORPHOSIS HEALTH, INC.
Active
Parent organization
1407638992
Organization subpart
Yes
Provider details
NPI number
Legal business name
1407638992
Authorized official
MRS. CRYSTAL MICHELLE MILLER BS (PRESIDENT / CEO)
(208) 890-6205
Entity
Organization
Contact information
Practice address
10108 W OVERLAND RD STE A, BOISE, ID 83709-1428
(208) 376-1532
(208) 375-7251
Mailing address
10108 W OVERLAND RD STE A, BOISE, ID 83709-1428
(208) 376-1532
(208) 375-7251
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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