| NPI | 1073662052 |
|---|---|
| Doing Business As | LDS FAMILY SERVICES ID IDAHO FALLS |
| Entity Type | Organization |
| Authorized Contact | CLAIGH H JENSEN Counseling Manager 208-529-5276 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID 19643) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2016-10-07 |