Southeastern Idaho Developmental Center, Inc.
NPI #1780879700 in Blackfoot, Idaho
Provider Information
- NPI Number
- 1780879700
- Entity Type
- Organization
- Organization Name
- Southeastern Idaho Developmental Center, Inc.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Sep 12, 2007
- Last Updated
- Sep 12, 2007
Practice Location
Authorized Official
- Name
- JIM P. MCCOY
- Title
- OWNER DIRECTOR
- Phone
- (208) 782-1301
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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