Organization · Type 2 NPI

Latino Stand Up Idaho LLC

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

NPI number 1649539495 Active

Practice location

1680 Woodruff Park, Suite A
Idaho Falls, ID 83401-3330

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XNone listed
Child & Adolescent Psychiatry Physician 2084P0804XNone listed
Case Management Agency 251B00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405XNone listed
Medical Physician Assistant 363AM0700XNone listed

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

4 other providers at this address

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About NPI 1649539495

Latino Stand Up Idaho LLC's National Provider Identifier is 1649539495, issued on May 15, 2012. 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 20, 2013.