Rbtd

NPI #1356509509 in Rigby, Idaho

Provider Information

NPI Number: 1356509509
Entity Type: Organization
Organization Name: Rbtd
Primary Specialty: Social Worker - Clinical
Enumeration Date: May 23, 2008
Last Updated: May 27, 2008

Practice Location

Address: 152 E MAIN ST STE 106
City: Rigby
State: Idaho
ZIP Code: 83442-5268
Phone: (208) 745-7831

Authorized Official

Name: BRUCE HAMPTON, LSW
Title: OWNER/LSW
Phone: (208) 522-8899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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