Organization Name: | HEALTHY RESOLUTIONS, PLLC |
NPI Number: | 1235562604 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CONNIE C. HAHN (AGENCY DIRECTOR) |
Mailing Address: | 135 Mckinley Ave Kellogg |
State: | ID US |
Postal Code: | 838372567 |
Phone Number: | 2087867040 |
Fax Number: | 2086829952 |
NPI Enumeration Date: | 08/20/2013 |
NPI Last Update Date: | 08/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | 26450 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ID |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |