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Idaho Dept Of Health & Welfare Reg 6 Cmh Bf C
Adolescent and Children Mental Health Clinic/Center in Blackfoot, Idaho
NPI 1710019476

Idaho Dept Of Health & Welfare Reg 6 Cmh Bf C is an Adolescent and Children Mental Health Clinic/Center based in Blackfoot, ID and is specialized in Adolescent and Children Mental Health. Idaho Dept Of Health & Welfare Reg 6 Cmh Bf C practices in Blackfoot, ID. The NPI Number for Idaho Dept Of Health & Welfare Reg 6 Cmh Bf C is 1710019476 and holds a License No. (Idaho).

The current practice location address for Idaho Dept Of Health & Welfare Reg 6 Cmh Bf C is 701 E Alice, Blackfoot, ID and can be reached out via phone at 208-785-5826 and via fax at 208-785-1003.

Location: 701 E Alice, Blackfoot, ID, 83221-0129
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710019476
Provider Name
Idaho Dept Of Health & Welfare Reg 6 Cmh Bf C
Credential
Provider Entity Type
Organization
Address
701 E Alice, Blackfoot, ID, 83221-0129
Phone Number
208-785-5826
Fax Number
208-785-1003
Provider Enumeration Date
03/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010019402 01 ID BLUE SHIELD
HW157 01 ID BLUE CROSS
8073650 05 ID
institution
Provider Business Practice Location Address Details
Address
701 E Alice
City
Blackfoot
State
Idaho
Zip
83221-0129
Phone Number
208-785-5826
Fax Number
208-785-1003
person
Provider Business Mailing Address Details
Address
701 E Alice
City
Blackfoot
State
Idaho
Zip
83221-0129
Phone Number
208-785-5826
Fax Number
208-785-1003
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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