Organization Name: | MARINELL RHINE SOLUTIONS FOR LIFE |
NPI Number: | 1003928961 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARINELL STEVENSON RHINE (OWNER) |
Mailing Address: | 239 Idaho St American Falls |
State: | ID US |
Postal Code: | 832111235 |
Phone Number: | 2082267500 |
Fax Number: | 2082267501 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 07/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LCSW-822 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |