Counseling & Treatment Center of Idaho, LLC

NPI #1093354318 in Rexburg, Idaho

Provider Information

NPI Number: 1093354318
Entity Type: Organization
Organization Name: Counseling & Treatment Center of Idaho, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jan 3, 2020
Last Updated: Oct 23, 2020

Practice Location

Address: 859 S YELLOWSTONE HWY STE 302
City: Rexburg
State: Idaho
ZIP Code: 83440-5294
Phone: (208) 932-5363

Authorized Official

Name: DEBORAH FINCH
Title: OFFICE MANAGER
Phone: (801) 857-9136

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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