Idaho Dept of Health & Welfare Reg 7 Cmh P C
NPI #1639201593 in Blackfoot, Idaho
Provider Information
- NPI Number
- 1639201593
- Entity Type
- Organization
- Organization Name
- Idaho Dept of Health & Welfare Reg 7 Cmh P C
- Primary Specialty
- Clinic/Center - Rehabilitation
- Enumeration Date
- Mar 9, 2007
- Last Updated
- Aug 10, 2010
Practice Location
Authorized Official
- Name
- RANDY RODRIQUEZ, LCSW
- Title
- PROGRAM MANAGER
- Phone
- (208) 528-5700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation — Rehabilitation |
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