institution
Club Inc
Mental Health Clinic/Center (Including Community Mental Health Center) in Idaho Falls, Idaho
NPI 1871915694

Club Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Idaho Falls, ID and is specialized in Mental Health (Including Community Mental Health Center). Club Inc practices in Idaho Falls, ID. The NPI Number for Club Inc is 1871915694 and holds a License No. LMSW-30202 (Idaho).

The current practice location address for Club Inc is 2001 S Woodruff, Idaho Falls, ID and can be reached out via phone at 208-529-4673 and via fax at 208-529-4676.

Location: 2001 S Woodruff, Idaho Falls, ID, 83404-6374
institution
Provider Profile Details
NPI Number
1871915694
Provider Name
Club Inc
Credential
Provider Entity Type
Organization
Address
2001 S Woodruff, Idaho Falls, ID, 83404-6374
Phone Number
208-529-4673
Fax Number
208-529-4676
Provider Enumeration Date
01/14/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2001 S Woodruff
City
State
Zip
83404
Phone Number
208-529-4673
Fax Number
208-529-4676
person
Provider Business Mailing Address Details
Address
2001 S Woodruff
City
State
Zip
83404
Phone Number
208-529-4673
Fax Number
208-529-4676
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
LMSW-30202 (Idaho)
Definition
Definition to come...
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