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 |