Icare Center for Change

NPI #1508554940 in Buhl, Idaho

Provider Information

NPI Number
1508554940
Entity Type
Organization
Organization Name
Icare Center for Change
Subpart
Yes (part of a larger organization)
Parent Organization
ICARE TELECARE
Primary Specialty
Psychologist - Addiction (Substance Use Disorder)
Enumeration Date
Apr 25, 2023
Last Updated
Apr 25, 2023

Practice Location

Address
1689 E 4000 N
City
Buhl
State
Idaho
ZIP Code
83316-5647
Phone
(208) 918-2473

Authorized Official

Name
KELLY GRAFF, APRN-CNS
Title
OWNER, CLINICIAN
Phone
(208) 918-2473

Specialties & Taxonomy Codes

Specialty
Psychologist - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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