Organization · Type 2 NPI
Idaho Dept of Health & Welfare Reg 7 Amh BF
Mental Health Clinic/Center (Including Community Mental Health Center) · Blackfoot, ID
NPI number
1114058179
Active
Practice location
720 E Alice
Blackfoot, ID 83221-0129
Fax (208) 785-5877
Mailing address
720 E Alice PO Box 129
Blackfoot, ID 83221-0129
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
Other mental health clinic/center (including community mental health center) providers in Blackfoot
About NPI 1114058179
Idaho Dept of Health & Welfare Reg 7 Amh BF's National Provider Identifier is 1114058179, issued on Mar 8, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Blackfoot, ID. The record was last updated on Aug 10, 2010.