Adolescent & Child Development Center, LLC
NPI #1063671469 in Pocatello, Idaho
Provider Information
- NPI Number
- 1063671469
- Entity Type
- Organization
- Organization Name
- Adolescent & Child Development Center, LLC
- Primary Specialty
- Clinic/Center - Developmental Disabilities
- Enumeration Date
- Jun 2, 2008
- Last Updated
- Apr 2, 2009
Practice Location
Authorized Official
- Name
- MR. VANCE RAY WALKER
- Title
- OWNER/EXECUTIVE DIRECTOR
- Phone
- (208) 232-5622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Clinic/Center - Developmental Disabilities — Developmental Disabilities |
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