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Idaho State University Department Of Family Medicine
Community/Behavioral Health Agency in Pocatello, Idaho
NPI 1780032326

Idaho State University Department Of Family Medicine is a Community/Behavioral Health Agency based in Pocatello, ID. Idaho State University Department Of Family Medicine practices in Pocatello, ID. The NPI Number for Idaho State University Department Of Family Medicine is 1780032326 and holds a License No. (Idaho).

The current practice location address for Idaho State University Department Of Family Medicine is 465 Memorial Dr, Pocatello, ID and can be reached out via phone at 208-282-4141.

Location: 465 Memorial Dr, Pocatello, ID, 83201-5757
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780032326
Provider Name
Idaho State University Department Of Family Medicine
Credential
Provider Entity Type
Organization
Address
465 Memorial Dr, Pocatello, ID, 83201-5757
Phone Number
208-282-4141
Fax Number
Provider Enumeration Date
05/24/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
465 Memorial Dr
City
Pocatello
State
Idaho
Zip
83201-4008
Phone Number
208-282-4141
Fax Number
person
Provider Business Mailing Address Details
Address
465 Memorial Dr
City
Pocatello
State
Idaho
Zip
83201-4008
Phone Number
208-282-4141
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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