Easy Go Express

NPI #1336599976 in Moore, Idaho

Provider Information

NPI Number: 1336599976
Entity Type: Organization
Organization Name: Easy Go Express
Primary Specialty: Clinic/Center - Adolescent and Children Mental Health
Enumeration Date: Jun 14, 2016
Last Updated: Jun 14, 2016

Practice Location

Address: 3551 W ANTELOPE RD
City: Moore
State: Idaho
ZIP Code: 83255-8754
Phone: (208) 680-5339

Authorized Official

Name: MR. DOUGLAS ALMA PEARSON
Title: OWNER/OPERATOR
Phone: (208) 680-5339

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X	Primary

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