Organization
HEAL 2 OVERCOME INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK GLEN DURHAM (EXECUTIVE DIRECTOR)
(208) 861-3196
Entity
Organization
Contact information
Practice address
2618 S BLUEGRASS DR, NAMPA, ID 83686-1380
(208) 861-3196
Mailing address
2618 S BLUEGRASS DR, NAMPA, ID 83686-1380
(208) 861-3196
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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