Organization · Type 2 NPI
Family Table LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Meridian, ID
NPI number
1760282107
Active
Practice location
1005 E Franklin Rd
Meridian, ID 83642-5951
Mailing address
6050 Sunrise Ave
Kuna, ID 83634-1533
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
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About NPI 1760282107
Family Table LLC's National Provider Identifier is 1760282107, issued on Mar 14, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Meridian, ID. The record was last updated on Mar 14, 2025.