Idaho Dept of Health & Welfare Reg 6 Amh Psr Poc
Idaho Dept of Health & Welfare Reg 6 Amh Psr Poc is a Mental Health Clinic/Center (Including Community Mental Health Center) in Pocatello, Idaho. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
421 Memorial DrPocatello, ID 83201-4008
Phone: (208) 234-7900
Fax: (208) 236-6328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|
Record details
| NPI number | 1225169139 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ed Axford — Program Manager · (208) 234-7900 |
| NPI enumerated | March 9, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 421 Memorial Dr, Pocatello, ID 83201-4008 |
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