Physicians Mental Health Services

NPI #1194063750 in Pocatello, Idaho

Provider Information

NPI Number
1194063750
Entity Type
Organization
Organization Name
Physicians Mental Health Services
Subpart
Yes (part of a larger organization)
Parent Organization
ADVANCED HEALTHCARE SOLUTIONS, LLC
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Jan 16, 2013
Last Updated
Apr 25, 2016

Practice Location

Address
475 YELLOWSTONE AVE
Address 2
SUITE E
State
Idaho
ZIP Code
83201-4528
Phone
(208) 478-7422

Authorized Official

Name
MR. MATTHEW ANDERSEN, LPC
Title
DIRECTOR
Phone
(208) 232-0021

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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