Bannock County Juvenile Justice

NPI #1982895884 in Pocatello, Idaho

Provider Information

NPI Number: 1982895884
Entity Type: Organization
Organization Name: Bannock County Juvenile Justice
Primary Specialty: Case Management
Enumeration Date: Aug 6, 2007
Last Updated: Aug 6, 2007

Practice Location

Address: 624 E CENTER ST
City: Pocatello
State: Idaho
ZIP Code: 83201-6274
Phone: (208) 236-0606

Authorized Official

Name: MR. MATT OLSEN, MSW
Title: JUVENILE JUSTICE DIRECTOR
Phone: (208) 236-0606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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