Center Case Management & Dd Services LLC

NPI #1003139585 in Chubbuck, Idaho

Provider Information

NPI Number
1003139585
Entity Type
Organization
Organization Name
Center Case Management & Dd Services LLC
Primary Specialty
Health Maintenance Organization
Enumeration Date
Mar 11, 2010
Last Updated
Mar 11, 2010

Practice Location

Address
4460 CENTRAL WAY STE 4
State
Idaho
ZIP Code
83202-5095
Phone
(208) 237-3880

Authorized Official

Name
MRS. LEEANN A TURPIN, LCPC
Title
DIRECTOR
Phone
(208) 237-3880

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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