SOUTH PARK, INC.

POCATELLO, ID
NPI1003021676
Entity TypeOrganization
Authorized ContactRUSSELL C MCCOY
Executive Director
208-233-6833
Organization Subpart ?No
Primary Taxonomy251B00000X Case Management
Enumeration Date2007-05-14
Last Update Date2020-08-22
Business Address
SOUTH PARK, INC.
415 S ARTHUR AVE
POCATELLO, ID 83204-3303
Phone number: 208-233-6833
Mailing Address
SOUTH PARK, INC.
415 S ARTHUR AVE
POCATELLO, ID 83204-3303
Phone number: 208-233-6833
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