institution
Idaho State University
Mental Health Clinic/Center (Including Community Mental Health Center) in Pocatello, Idaho
NPI 1982475091

Idaho State University is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Pocatello, ID and is specialized in Mental Health (Including Community Mental Health Center). Idaho State University practices in Pocatello, ID. The NPI Number for Idaho State University is 1982475091 and holds a License No. (Idaho).

The current practice location address for Idaho State University is 421 Memorial Dr, Pocatello, ID and can be reached out via phone at 208-373-1743 and via fax at 833-499-1813. You can also correspond with Idaho State University through the mailing address at 921 S 8TH AVE STOP 8311, POCATELLO, ID - 83201-5377 (mailing address contact number: 208-373-1743).

Location: 421 Memorial Dr, Pocatello, ID, 83201-5377
institution
Provider Profile Details
NPI Number
1982475091
Provider Name
Idaho State University
Credential
Provider Entity Type
Organization
Address
421 Memorial Dr, Pocatello, ID, 83201-5377
Phone Number
208-373-1743
Fax Number
833-499-1813
Provider Enumeration Date
01/09/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
421 Memorial Dr
City
State
Zip
83201-4008
Phone Number
208-373-1743
Fax Number
833-499-1813
person
Provider Business Mailing Address Details
Address
421 Memorial Dr
City
State
Zip
83201-4008
Phone Number
208-373-1743
Fax Number
833-499-1813
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.
()
Definition
Definition to come...
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