PORTNEUF VALLEY FAMILY CENTER

POCATELLO, ID
NPI1174629976
Entity TypeOrganization
Authorized ContactROBERT ANDREW DE WALL
Owner/Administrator
208-233-7832
Organization Subpart ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2006-09-16
Last Update Date2021-10-22
Business Address
PORTNEUF VALLEY FAMILY CENTER
444 HOSPITAL WAY STE 477
POCATELLO, ID 83201-2744
Phone number: 208-233-7832
Mailing Address
PORTNEUF VALLEY FAMILY CENTER
PO BOX 4908
POCATELLO, ID 83205-4908
Phone number: 208-236-1600
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