Organization · Type 2 NPI
Idaho Dept of Health & Welfare Reg 6 CMH BF C
Adolescent and Children Mental Health Clinic/Center · Blackfoot, ID
Practice location
701 E Alice
Blackfoot, ID 83221-0129
Fax (208) 785-1003
Mailing address
PO Box 129
Blackfoot, ID 83221-0129
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.
About NPI 1710019476
Idaho Dept of Health & Welfare Reg 6 CMH BF C's National Provider Identifier is 1710019476, issued on Mar 9, 2007. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Blackfoot, ID. The record was last updated on Aug 22, 2020.