NPI Verification
National Provider Identifier: 1932454642
Adolpho Enterprise Llc.
Organization
Primary Specialty
Clinic/Center, Mental Health (Including Community Mental Health Center)
Code: 261QM0801X
All Specialties (11)
Counselor
Code: 101Y00000X
Counselor, Mental Health
Code: 101YM0800X
Psychologist
Code: 103T00000X
Psychologist, Counseling
Code: 103TC1900X
Marriage & Family Therapist
Code: 106H00000X
Family Medicine
Code: 207Q00000X
General Practice
Code: 208D00000X
Community/Behavioral Health
Code: 251S00000X
Clinic/Center, Mental Health (Including Community Mental Health Center)
Code: 261QM0801X
Physician Assistant
Code: 363A00000X
Nurse Practitioner
Code: 363L00000X
Practice Address
3649 N LAKEHARBOR LN
BOISE, ID 837036913
Phone: 435-553-9822
NPI Enumeration Date
July 18, 2012
NPI Number
1932454642Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.
View on CMS NPPES Registry