Idaho Dept of Health &welfare Reg 6 Cmh Psr P

NPI #1497887871 in Pocatello, Idaho

Provider Information

NPI Number
1497887871
Entity Type
Organization
Organization Name
Idaho Dept of Health &welfare Reg 6 Cmh Psr P
Primary Specialty
Clinic/Center - Rehabilitation
Enumeration Date
Mar 12, 2007
Last Updated
Oct 22, 2010

Practice Location

Address
421 MEMORIAL DR
State
Idaho
ZIP Code
83201-4008
Phone
(208) 234-7900

Authorized Official

Name
RITCHIE WEERS
Title
CLINICAL SUPERVISOR
Phone
(208) 234-7900

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RehabilitationRehabilitation

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