Idaho Dept of Health & Welfare Reg 6 Amh Clinic Poc
NPI #1811028889 in Pocatello, Idaho
Provider Information
- NPI Number
- 1811028889
- Entity Type
- Organization
- Organization Name
- Idaho Dept of Health & Welfare Reg 6 Amh Clinic Poc
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Mar 8, 2007
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- ED AXFORD
- Title
- PROGRAM MANAGER
- Phone
- (208) 234-7900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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