Organization
HEALTHY MIND BEHAVIORAL HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER MUNGA GAKWA NP (PMHNP)
(208) 284-7100
Entity
Organization
Contact information
Practice address
9492 W FAIRVIEW AVE, BOISE, ID 83704-8101
(208) 284-7100
(208) 213-3659
Mailing address
9492 W FAIRVIEW AVE, BOISE, ID 83704-8101
(208) 284-7100
(208) 213-3659
Taxonomy
Speciality
Code
Description
License number
State
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/04/2024
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