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Latino Stand Up
Adolescent and Children Mental Health Clinic/Center in Idaho Falls, Idaho
NPI 1164781365

Latino Stand Up is an Adolescent and Children Mental Health Clinic/Center based in Idaho Falls, ID and is specialized in Adolescent and Children Mental Health. Latino Stand Up practices in Idaho Falls, ID. The NPI Number for Latino Stand Up is 1164781365 and holds a License No. (Idaho).

The current practice location address for Latino Stand Up is 1420 E 17Th St Ste E, Idaho Falls, ID and can be reached out via phone at 208-528-5434 and via fax at 208-522-4364.

Location: 1420 E 17Th St Ste E, Idaho Falls, ID, 83404-6283
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164781365
Provider Name
Latino Stand Up
Credential
Provider Entity Type
Organization
Address
1420 E 17Th St Ste E, Idaho Falls, ID, 83404-6283
Phone Number
208-528-5434
Fax Number
208-522-4364
Provider Enumeration Date
05/08/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1420 E 17Th St Ste E
City
Idaho Falls
State
Idaho
Zip
83404-6283
Phone Number
208-528-5434
Fax Number
208-522-4364
person
Provider Business Mailing Address Details
Address
1420 E 17Th St Ste E
City
Idaho Falls
State
Idaho
Zip
83404-6283
Phone Number
208-528-5434
Fax Number
208-522-4364
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
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.
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