OrganizationActive
Metamorphosis Health, Inc
NPI 1407638992 · Multi-Specialty Clinic/Center · Boise, ID
Provider details
- NPI number
- 1407638992
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Crystal Miller, Ceo/Owner(208) 890-6205
Specialties & taxonomies
Ambulatory Health Care Facilities
- Case Manager/Care Coordinator171M00000X
Other Service Providers
- Community Health Worker172V00000X
Other Service Providers
Ambulatory Health Care Facilities
- Peer Specialist175T00000X
Other Service Providers
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Practice location
10108 W Overland Rd Ste a
Boise, ID 83709-1428
Phone: (208) 376-1532
Fax: (208) 375-7251
Approximate (ZIP-level) locationGet directions
Mailing address
2118 N Azurite Dr
Kuna, ID 83634-4904
Registry dates
- Enumerated
- 2023-10-18
- Last updated
- 2023-11-08
- Certified
- 2023-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.