Organization · Type 2 NPI

Idaho Dept of Health & Welfare Region 7 CMH Clinic If

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

NPI number 1629104047 Active

Practice location

150 Shoup Ave, Suite 17
Idaho Falls, ID 83402-3657

Fax (208) 528-5747

Specialties and licenses

Taxonomy	Code	License
Adolescent and Children Mental Health Clinic/Center Primary	261QM0855X	None 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 1629104047

Idaho Dept of Health & Welfare Region 7 CMH Clinic If's National Provider Identifier is 1629104047, issued on Feb 27, 2007. 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 Aug 22, 2020.