Organization
NEW HORIZONS MENTAL WELLNESS CLINICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRIN B ROBERTSON PMHNP-BC (OWNER)
(208) 380-0194
Entity
Organization
Contact information
Practice address
1352 E. CENTER, SUITE A, POCATELLO, ID 83201-4773
(208) 380-0194
(208) 233-2178
Mailing address
PO BOX 4789, POCATELLO, ID 83205-4789
(208) 380-0194
(208) 233-2178
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
NP1034A
ID
Other
Enumeration date
02/22/2013
Last updated
09/03/2014
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