Organization · Type 2 NPI

Mountain West Supportive Services

Mental Health Clinic/Center (Including Community Mental Health Center) · Idaho Falls, ID

NPI number 1114417029 Active

Practice location

1970 E 17th St Ste 101
Idaho Falls, ID 83404-8046

Call (208) 715-0218 Map

Fax (208) 715-0210

Specialties and licenses

TaxonomyCodeLicense
Case Management Agency 251B00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1114417029

Mountain West Supportive Services's National Provider Identifier is 1114417029, issued on May 16, 2018. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Idaho Falls, ID. The record was last updated on May 16, 2018.