Bannock Youth Foundation
NPI #1245665470 in Pocatello, Idaho
Provider Information
- NPI Number
- 1245665470
- Entity Type
- Organization
- Organization Name
- Bannock Youth Foundation
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BANNOCK YOUTH FOUNDATION
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Sep 6, 2013
- Last Updated
- Sep 6, 2013
Practice Location
Authorized Official
- Name
- MS. CINDY K HANSEN, M.A.
- Title
- CLINICAL DIRECTOR
- Phone
- (208) 234-4722
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Substance Abuse Rehabilitation Facility |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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