| NPI | 1790826543 |
|---|---|
| Doing Business As | LDS FAMILY SERVICES ID POCATELLO OFFICE |
| Entity Type | Organization |
| Authorized Contact | CLAIGH H JENSEN Director 208-529-5276 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2008-06-10 |