Organization · Type 2 NPI

Idaho State University Department of Family Medicine

Community/Behavioral Health Agency · Pocatello, ID

NPI number 1780032326 Active

Practice location

465 Memorial Dr
Pocatello, ID 83201-4008

Call (208) 282-4141 Map

Mailing address

1000 N 8th Ave
Pocatello, ID 83201-5757

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1780032326

Idaho State University Department of Family Medicine's National Provider Identifier is 1780032326, issued on May 24, 2016. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Pocatello, ID. The record was last updated on May 24, 2016.