institution
Idaho Dept Of Health & Welfare Region 7 Cmh Clinic If
Adolescent and Children Mental Health Clinic/Center in Idaho Falls, Idaho
NPI 1629104047

Idaho Dept Of Health & Welfare Region 7 Cmh Clinic If is an Adolescent and Children Mental Health Clinic/Center based in Idaho Falls, ID and is specialized in Adolescent and Children Mental Health. Idaho Dept Of Health & Welfare Region 7 Cmh Clinic If practices in Idaho Falls, ID. The NPI Number for Idaho Dept Of Health & Welfare Region 7 Cmh Clinic If is 1629104047 and holds a License No. (Idaho).

The current practice location address for Idaho Dept Of Health & Welfare Region 7 Cmh Clinic If is 150 Shoup Ave, Idaho Falls, ID and can be reached out via phone at 208-528-5700 and via fax at 208-528-5747. You can also correspond with Idaho Dept Of Health & Welfare Region 7 Cmh Clinic If through the mailing address at 150 SHOUP AVE, IDAHO FALLS, ID - 83402-3657 (mailing address contact number: 208-528-5700).

Location: 150 Shoup Ave, Idaho Falls, ID, 83402-3657
institution
Provider Profile Details
NPI Number
1629104047
Provider Name
Idaho Dept Of Health & Welfare Region 7 Cmh Clinic If
Credential
Provider Entity Type
Organization
Address
150 Shoup Ave, Idaho Falls, ID, 83402-3657
Phone Number
208-528-5700
Fax Number
208-528-5747
Provider Enumeration Date
02/27/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HW157 01 BLUE CROSS OF IDAHO
000010019677 01 BLUE SHIELD
8073848 05 ID
institution
Provider Business Practice Location Address Details
Address
150 Shoup Ave
City
State
Zip
83402-3657
Phone Number
208-528-5700
Fax Number
208-528-5747
person
Provider Business Mailing Address Details
Address
150 Shoup Ave
City
State
Zip
83402-3657
Phone Number
208-528-5700
Fax Number
208-528-5747
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
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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