Organization · Type 2 NPI
Sullivan Mental Health Services LLC
Adult Mental Health Clinic/Center · Idaho Falls, ID
NPI number
1003101577
Active
Practice location
660 S Woodruff Ave
Idaho Falls, ID 83401-5299
Fax (208) 529-4788
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
2 other providers at this address
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About NPI 1003101577
Sullivan Mental Health Services LLC's National Provider Identifier is 1003101577, issued on Jun 13, 2011. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Idaho Falls, ID. The record was last updated on Nov 30, 2011.