Organization
CITADEL MENTAL HEALTH LLC
Active
Other names
Citadel Integrative Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
VERLYN GLENN AP (OWNER)
(509) 828-8307
Entity
Organization
Contact information
Practice address
1833 S MILLENIUM WAY STE 100, MERIDIAN, ID 83642-1510
(208) 614-3637
Mailing address
1711 W WOOD CHIP ST, MERIDIAN, ID 83642-7322
(509) 828-8307
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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