Organization
MVH PMHS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NED HILLYARD (CHIEF COMPLIANCE OFFICER)
(208) 709-4571
Entity
Organization
Contact information
Practice address
475 YELLOWSTONE AVE, STE E, POCATELLO, ID 83201-4528
(208) 232-0021
Mailing address
475 YELLOWSTONE AVE, STE E, POCATELLO, ID 83201-4528
(208) 232-0021
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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