OrganizationActive
Authentic Minds LLC
NPI 1376389007 · Developmental Disabilities Clinic/Center · Meridian, ID
Provider details
- NPI number
- 1376389007
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Katie Donaldson, Owner(208) 316-9313
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
6861 S Donaway Ave
Meridian, ID 83642-6768
Phone: (208) 316-9313
Approximate (ZIP-level) locationGet directions
Mailing address
6861 S Donaway Ave
Meridian, ID 83642-6768
Registry dates
- Enumerated
- 2024-07-02
- Last updated
- 2024-07-02
- Certified
- 2024-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.