Adolescent & Child Development Center, LLC
Adolescent & Child Development Center, LLC is a Developmental Disabilities Clinic/Center in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2008.
- Licensed in
- ID
- In the registry since
- 2008
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
151 N 3rd Ave Ste 110Pocatello, ID 83201-6331
Phone: (208) 232-5622
Fax: (208) 233-4639
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Disabilities Clinic/Center (primary) | Taxonomy 261QD1600X · Licence 261QD1600X (ID) |
|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | Taxonomy 261QM0801X · Licence 261QM0801X (ID) |
| Adult Mental Health Clinic/Center | Taxonomy 261QM0850X · Licence 261QM0850X (ID) |
Record details
| NPI number | 1063671469 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Vance Walker — Owner/Executive Director · (208) 232-5622 |
| NPI enumerated | June 2, 2008 |
| Last updated in NPPES | April 2, 2009 |
| Mailing address | 151 N 3rd Ave, Suite 110, Pocatello, ID 83201-6331 |
Other providers in Pocatello
-
Community Mental Health Services
720 E Lander St, Pocatello, ID 83201-6228 · (208) 478-2172