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Organization

RETURNING TO SELF LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNEDY ANNE MCGURKIN (OWNER)
(509) 542-7035
Entity
Organization

Contact information

Practice address
2976 E STATE ST STE 120, EAGLE, ID 83616-6394
(509) 542-7035
Mailing address
PO BOX 134, BOISE, ID 83701-0134
(509) 332-9134

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
02/11/2025
Last updated
07/30/2025
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