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1073771143
MOUNTAIN RIVER MENTAL HEALTH
IDAHO FALLS, ID
NPI
1073771143
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Entity Type
Organization
Authorized Contact
BRUCE HAMPTON
Owner/Lsw
208-522-8899
Organization Subpart ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2008-05-27
Last Update Date
2008-05-27
Business Address
MOUNTAIN RIVER MENTAL HEALTH
3767 PROFESSIONAL WAY
IDAHO FALLS, ID 83402-7315
Phone number: 208-522-8899
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Mailing Address
MOUNTAIN RIVER MENTAL HEALTH
PO BOX 2106
IDAHO FALLS, ID 83403-2106
Phone number: 208-522-8899
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