Children's Center
NPI #1366131302 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1366131302
- Entity Type
- Organization
- Organization Name
- Children's Center
- Primary Specialty
- Clinic/Center - Adolescent and Children Mental Health
- Enumeration Date
- May 4, 2023
- Last Updated
- May 4, 2023
Practice Location
- Address
- 1820 E 17TH ST STE 330
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-6400
- Phone
- (208) 534-8303
Authorized Official
- Name
- MR. MATTHEW FRANCIS SMITH
- Title
- ADMINISTRATOR
- Phone
- (208) 534-8303
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
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