Idaho Children's Center

NPI #1346433232 in Ammon, Idaho

Provider Information

NPI Number
1346433232
Entity Type
Organization
Organization Name
Idaho Children's Center
Primary Specialty
Community/Behavioral Health
Enumeration Date
Aug 23, 2007
Last Updated
Aug 23, 2007

Practice Location

Address
1675 CURLEW DR
City
Ammon
State
Idaho
ZIP Code
83406-4718
Phone
(208) 529-4300

Authorized Official

Name
MR. MATT F SMITH
Title
CHIEF EXECUTIVE OFFICER
Phone
(208) 529-4300

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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