Organization
CLOUD CLINIC MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON BINDER NP-C (OWNER)
(208) 891-6647
Entity
Organization
Contact information
Practice address
2577 S FIVE MILE RD, BOISE, ID 83709-2325
(208) 340-8597
Mailing address
3473 E SHERGAR CT, MERIDIAN, ID 83642-3170
(208) 340-8597
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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