Organization · Type 2 NPI
Adolescent & Child Development Center, LLC
Developmental Disabilities Clinic/Center · Pocatello, ID
Practice location
151 N 3rd Ave, Suite 110
Pocatello, ID 83201-6331
Fax (208) 233-4639
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Disabilities Clinic/Center Primary | 261QD1600X | 261QD1600X (ID) |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 261QM0801X (ID) |
| Adult Mental Health Clinic/Center | 261QM0850X | 261QM0850X (ID) |
Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Other developmental disabilities clinic/center providers in Pocatello
About NPI 1063671469
Adolescent & Child Development Center, LLC's National Provider Identifier is 1063671469, issued on Jun 2, 2008. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Pocatello, ID. The record was last updated on Apr 2, 2009.