Club INC
NPI #1871915694 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1871915694
- Entity Type
- Organization
- Organization Name
- Club INC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Jan 14, 2014
- Last Updated
- Jan 14, 2014
Practice Location
- Address
- 2001 S WOODRUFF
- Address 2
- SUITE 6
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404
- Phone
- (208) 529-4673
Authorized Official
- Name
- KRISTEE CRIDDLE
- Title
- LNSW
- Phone
- (208) 241-1377
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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