Organization
IDEAL MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRMA MOLINA RUBY MSW (MANAGER)
(208) 468-1511
Entity
Organization
Contact information
Practice address
16 12TH AVE S, SUITE 216, NAMPA, ID 83651-3936
(208) 468-1511
(208) 468-1599
Mailing address
16 12TH AVE S, SUITE 216, NAMPA, ID 83651-3936
(208) 468-1511
(208) 468-1599
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/19/2006
Last updated
08/22/2020
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