Organization · Type 2 NPI

Eartherapy

Adolescent and Children Mental Health Clinic/Center · Idaho Falls, ID

NPI number 1154639714 Active

Practice location

354 W Sunnyside Rd, Suite D
Idaho Falls, ID 83402-4644

Fax (208) 528-6888

Specialties and licenses

TaxonomyCodeLicense
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855XLCPC-3187 (ID)

Adolescent and Children 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 children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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About NPI 1154639714

Eartherapy's National Provider Identifier is 1154639714, issued on Sep 16, 2010. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Idaho Falls, ID. The record was last updated on Sep 16, 2010.