IDAHO DEPT OF HEALTH &WELFARE REG 6 CMH PSR P

POCATELLO, ID
NPI1497887871
Entity TypeOrganization
Authorized ContactRITCHIE WEERS
Clinical Supervisor
208-234-7900
Organization Subpart ?No
Primary Taxonomy261QR0400X Clinic/Center, Rehabilitation
Enumeration Date2007-03-12
Last Update Date2010-10-22
Business Address
IDAHO DEPT OF HEALTH &WELFARE REG 6 CMH PSR P
421 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-234-7900
Mailing Address
IDAHO DEPT OF HEALTH &WELFARE REG 6 CMH PSR P
421 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-234-7900
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