Childrens Supportive Services Incorporated

NPI #1407074636 in Blackfoot, Idaho

Provider Information

NPI Number
1407074636
Entity Type
Organization
Organization Name
Childrens Supportive Services Incorporated
Primary Specialty
Community/Behavioral Health
Enumeration Date
Apr 23, 2007
Last Updated
Dec 2, 2009

Practice Location

Address
625 W PACIFIC ST
Address 2
SUITE 2
State
Idaho
ZIP Code
83221-2034
Phone
(208) 524-8996

Authorized Official

Name
CATHIE CRANE
Title
SECRETARY-TREASURER
Phone
(208) 524-8996

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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