Organization · Type 2 NPI

Latino Stand Up

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

NPI number 1164781365 Active

Practice location

1420 E 17th St Ste E
Idaho Falls, ID 83404-6283

Fax (208) 522-4364

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855XNone listed

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 1164781365

Latino Stand Up's National Provider Identifier is 1164781365, issued on May 8, 2012. 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 Mar 31, 2013.