Family and Children's Rehabilitative Services

NPI #1578602793 in St Maries, Idaho

Provider Information

NPI Number
1578602793
Entity Type
Organization
Organization Name
Family and Children's Rehabilitative Services
Primary Specialty
Community/Behavioral Health
Enumeration Date
Feb 5, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
622 W COLLEGE AVE
State
Idaho
ZIP Code
83861-1822
Phone
(208) 245-4363

Authorized Official

Name
MR. BRYAN LEON GIMMESON
Title
OWNER ADMINISTRATOR
Phone
(208) 771-1262

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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