Idaho State University
NPI #1982475091 in Pocatello, Idaho
Provider Information
- NPI Number
- 1982475091
- Entity Type
- Organization
- Organization Name
- Idaho State University
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Jan 9, 2024
- Last Updated
- Feb 27, 2024
Practice Location
Authorized Official
- Name
- CYNTHIA LEE ROCK
- Title
- CLINICS DIRECTOR OF OPERATIONS
- Phone
- (208) 373-1743
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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