Gem State Developmental Center LLC
NPI #1023667524 in Meridian, Idaho
Provider Information
- NPI Number
- 1023667524
- Entity Type
- Organization
- Organization Name
- Gem State Developmental Center LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SYRINGA SOCIAL SERVICES LLC
- Primary Specialty
- Day Training/Habilitation Specialist
- Enumeration Date
- Sep 6, 2019
- Last Updated
- Sep 6, 2019
Practice Location
Authorized Official
- Name
- MS. LORI JO POOLE, LCSW
- Title
- CLINICAL DIRECTOR
- Phone
- (208) 888-5566
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training/Habilitation Specialist |
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