Mountain West Supportive Services
Mountain West Supportive Services is a Case Management Agency in Idaho Falls, Idaho. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
1970 E 17th St Ste 101Idaho Falls, ID 83404-8046
Phone: (208) 715-0218
Fax: (208) 715-0210
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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 |
|---|---|
| Case Management Agency | Taxonomy 251B00000X |
Record details
| NPI number | 1114417029 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kalle Smith — Owner · (208) 715-0218 |
| NPI enumerated | May 16, 2018 |
| Last updated in NPPES | May 16, 2018 |
| Mailing address | 1970 E 17th St Ste 101, Idaho Falls, ID 83404-8046 |
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