Little Angels

NPI #1942546510 in Idaho Falls, Idaho

Provider Information

NPI Number
1942546510
Entity Type
Organization
Organization Name
Little Angels
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Dec 29, 2012
Last Updated
Dec 29, 2012

Practice Location

Address
1420 E 17TH ST
Address 2
SUITE C
State
Idaho
ZIP Code
83404-6283
Phone
(208) 313-0711

Authorized Official

Name
MRS. LISA CRUZ, RN
Title
OWNER
Phone
(208) 313-0711

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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