Impact

NPI #1437317682 in Rigby, Idaho

Provider Information

NPI Number: 1437317682
Entity Type: Organization
Organization Name: Impact
Primary Specialty: Social Worker
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	104100000X	Primary

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