Eastern Idaho Community Action Partnership
NPI #1134556970 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1134556970
- Entity Type
- Organization
- Organization Name
- Eastern Idaho Community Action Partnership
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 10, 2013
- Last Updated
- Oct 10, 2013
Practice Location
- Address
- 935 E LINCOLN RD
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-2119
- Phone
- (208) 522-5391
Authorized Official
- Name
- RUSSELL SPAIN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (208) 522-5391
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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