Organization · Type 2 NPI

Southeastern Idaho Developmental Center, Inc.

Community/Behavioral Health Agency · Blackfoot, ID

NPI number 1780879700 Active

Practice location

765 W Judicial St
Blackfoot, ID 83221-2036

Call (208) 782-1301 Map

Fax (208) 782-3627

Mailing address

PO Box 701
Blackfoot, ID 83221-0701

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…

5 other providers at this address

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About NPI 1780879700

Southeastern Idaho Developmental Center, Inc.'s National Provider Identifier is 1780879700, issued on Sep 12, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Blackfoot, ID. The record was last updated on Sep 12, 2007.