Latino Stand Up
Latino Stand Up is an Adult Mental Health Clinic/Center in Idaho Falls, Idaho. Registered with an NPI since 2012.
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
1420 E 17th St Ste EIdaho Falls, ID 83404-6283
Phone: (208) 528-5434
Fax: (208) 522-4364
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adolescent and Children Mental Health Clinic/Center (primary) | Taxonomy 261QM0855X |
|---|---|
| Adult Mental Health Clinic/Center | Taxonomy 261QM0850X |
Record details
| NPI number | 1164781365 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Roger Horne — Owner · (910) 573-0861 |
| NPI enumerated | May 8, 2012 |
| Last updated in NPPES | March 31, 2013 |
| Mailing address | 1420 E 17th St Ste E, Idaho Falls, ID 83404-6283 |
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