Childrens Supportive Services Incorporaated
NPI #1164640397 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1164640397
- Entity Type
- Organization
- Organization Name
- Childrens Supportive Services Incorporaated
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 23, 2007
- Last Updated
- Dec 2, 2009
Practice Location
- Address
- 1565 E LINCOLN RD
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-2129
- Phone
- (208) 524-8996
Authorized Official
- Name
- CATHIE CRANE
- Title
- SECRETARY-TREASURE
- Phone
- (208) 524-8996
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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