Ashton Memorial INC
NPI #1104665587 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1104665587
- Entity Type
- Organization
- Organization Name
- Ashton Memorial INC
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- May 23, 2024
- Last Updated
- May 23, 2024
Practice Location
- Address
- 2935 ROLLANDET ST
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83402-4654
- Phone
- (208) 542-2905
Authorized Official
- Name
- SUZANNE BRADY
- Title
- HR DIRECTOR/COMPLIANCE OFFICER
- Phone
- (208) 652-7461
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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