Canyon Creek Developmental Services

NPI #1689718520 in Caldwell, Idaho

Provider Information

NPI Number
1689718520
Entity Type
Organization
Organization Name
Canyon Creek Developmental Services
Primary Specialty
Local Education Agency (LEA)
Enumeration Date
Feb 16, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
5214 CLEVELAND BLVD STE G
State
Idaho
ZIP Code
83607-8713
Phone
(208) 454-6266

Authorized Official

Name
MRS. BETH A MOODY
Title
CFO
Phone
(208) 454-6266

Specialties & Taxonomy Codes

Specialty
Local Education Agency (LEA)

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