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OPEN MIND WELLNESS

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Company Details

Name: OPEN MIND WELLNESS
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 29 Jun 2015 (10 years ago)
Entity Number: 544363
Place of Formation: IDAHO
File Number: 0000544363
ZIP code: 83815
County: Kootenai County
Mailing Address: 5920 N GOVERNMENT WAY #4 DALTON GARDENS, ID 83815

National Provider Identifier

NPI Number:
1699155457

Authorized Person:

Name:
MICHAEL DANIEL GARCIA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0000544363 2015-06-29

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State