Behavioral Reform INC

NPI #1023221504 in Pocatello, Idaho

Provider Information

NPI Number
1023221504
Entity Type
Organization
Organization Name
Behavioral Reform INC
Primary Specialty
Community/Behavioral Health
Enumeration Date
May 8, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1135 YELLOWSTONE AVE STE D
State
Idaho
ZIP Code
83201-4371
Phone
(208) 238-9400

Authorized Official

Name
GARY O HORTON, PH.D, LP, LCPC, NCC
Title
OWNER
Phone
(208) 782-0376

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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