Organization
OPEN MIND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DANIEL GARCIA LPC (OWNER)
(208) 819-0550
Entity
Organization
Contact information
Practice address
5920 N GOVERNMENT WAY, #4, DALTON GARDENS, ID 83815-9200
(208) 819-0550
Mailing address
5920 N GOVERNMENT WAY, #4, DALTON GARDENS, ID 83815-9200
(208) 819-0550
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC-5123
ID
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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