OrganizationActive
Healthy Mind Behavioral Health Clinic LLC
NPI 1710766159 · Child & Family Psychiatric/Mental Health Clinical Nurse Specialist · Boise, ID
Provider details
- NPI number
- 1710766159
- Entity type
- Organization
- Primary specialty
- Child & Family Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Christopher Gakwa, Pmhnp
Practice location
9492 W Fairview Ave
Boise, ID 83704-8101
Phone: (208) 284-7100
Fax: (208) 213-3659
Mailing address
9492 W Fairview Ave
Boise, ID 83704-8101
Registry dates
- Enumerated
- 2023-09-25
- Last updated
- 2024-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.