Organization · Type 2 NPI

Idaho Dept of Health & Welfare Reg 6 CMH Poc Clinic

Adolescent and Children Mental Health Clinic/Center · Pocatello, ID

NPI number 1780715045 Active

Practice location

421 Memorial Dr
Pocatello, ID 83201-4008

Fax (208) 236-6328

Specialties and licenses

TaxonomyCodeLicense
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855XNone 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.

27 other providers at this address

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About NPI 1780715045

Idaho Dept of Health & Welfare Reg 6 CMH Poc Clinic's National Provider Identifier is 1780715045, issued on Mar 8, 2007. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Pocatello, ID. The record was last updated on Oct 22, 2010.