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Idaho Dept Of Health & Welfare Region 7 Cmh Clinic Rexburg
Adolescent and Children Mental Health Clinic/Center in Rexburg, Idaho
NPI 1447386867

Idaho Dept Of Health & Welfare Region 7 Cmh Clinic Rexburg is an Adolescent and Children Mental Health Clinic/Center based in Rexburg, ID and is specialized in Adolescent and Children Mental Health. Idaho Dept Of Health & Welfare Region 7 Cmh Clinic Rexburg practices in Rexburg, ID. The NPI Number for Idaho Dept Of Health & Welfare Region 7 Cmh Clinic Rexburg is 1447386867 and holds a License No. (Idaho).

The current practice location address for Idaho Dept Of Health & Welfare Region 7 Cmh Clinic Rexburg is 333 Walker Dr, Rexburg, ID and can be reached out via phone at 208-359-4751 and via fax at 208-356-5461.

Location: 333 Walker Dr, Rexburg, ID, 83440-1657
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447386867
Provider Name
Idaho Dept Of Health & Welfare Region 7 Cmh Clinic Rexburg
Credential
Provider Entity Type
Organization
Address
333 Walker Dr, Rexburg, ID, 83440-1657
Phone Number
208-359-4751
Fax Number
208-356-5461
Provider Enumeration Date
02/27/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010019677 01 BLUE SHIELD
8074323 05 ID
HW157 01 BLUE CROSS OF IDAHO
institution
Provider Business Practice Location Address Details
Address
333 Walker Dr
City
Rexburg
State
Idaho
Zip
83440-1657
Phone Number
208-359-4751
Fax Number
208-356-5461
person
Provider Business Mailing Address Details
Address
333 Walker Dr
City
Rexburg
State
Idaho
Zip
83440-1657
Phone Number
208-359-4751
Fax Number
208-356-5461
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
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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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