Idaho Dept of Health & Welfare Region 7 Cmh Clinic If
NPI #1629104047 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1629104047
- Entity Type
- Organization
- Organization Name
- Idaho Dept of Health & Welfare Region 7 Cmh Clinic If
- Primary Specialty
- Clinic/Center - Adolescent and Children Mental Health
- Enumeration Date
- Feb 27, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 150 SHOUP AVE
- Address 2
- SUITE 17
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83402-3657
- Phone
- (208) 528-5700
Authorized Official
- Name
- MRS. MELISSA M BEAN, MA
- Title
- PROGRAM MANAGER
- Phone
- (208) 528-5706
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
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