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FAMILY TABLE LLC

Organization (NPI-2) Active

Clinic/Center, Mental Health (Including Community Mental Health Center)

Provider Information

NPI Number
1760282107
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
1005 E FRANKLIN RD, MERIDIAN, ID, 836425951
Phone
(208) 859-5028

Specialties & Taxonomies

Clinic/Center, Mental Health (Including Community Mental Health Center) Primary

All Addresses

MAILING

6050 SUNRISE AVE

KUNA, ID, 836341533

(208) 859-5028

LOCATION

1005 E FRANKLIN RD

MERIDIAN, ID, 836425951

(208) 859-5028