Organization
STEADFAST WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL FORD LCSW (OWNER)
(541) 690-7221
Entity
Organization
Contact information
Practice address
100 W OVERLAND RD STE 201, MERIDIAN, ID 83642-3053
(541) 690-7221
Mailing address
100 W OVERLAND RD STE 201, MERIDIAN, ID 83642-3053
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
03/17/2022
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