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Organization

NEW LEAF BEHAVIORAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHELLEY WRAY APRN (PRESIDENT)
(208) 421-2908
Entity
Organization

Contact information

Practice address
144 LONG ISLAND AVE, TWIN FALLS, ID 83301-3018
(208) 421-2908
Mailing address
144 LONG ISLAND AVE, TWIN FALLS, ID 83301-3018
(208) 421-2908

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
NP-1476A
ID

Other

Enumeration date
10/05/2014
Last updated
10/05/2014
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