Organization · Type 2 NPI
Autumn Leaves Psychiatry, PLLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Idaho Falls, ID
NPI number
1396326096
Active
Practice location
3670 S 25th E Ste 4
Idaho Falls, ID 83404-4956
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...
2 other providers at this address
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About NPI 1396326096
Autumn Leaves Psychiatry, PLLC's National Provider Identifier is 1396326096, issued on Apr 15, 2021. 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 6, 2021.