Organization
ABUNDANT WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ELIZABETH KNACK LMSW (MENTAL HEALTH INTAKE SPECIALIST)
(208) 457-1540
Entity
Organization
Contact information
Practice address
1125 E POLSTON AVE, SUITE A, POST FALLS, ID 83854-6045
(208) 457-1540
(208) 457-1202
Mailing address
1125 E POLSTON AVE, SUITE A, POST FALLS, ID 83854-6045
(208) 457-1540
(208) 457-1202
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LMSW-29144
ID
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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