Organization · NPI-2

Childrens Supportive Services Incorporated

Case Management · Idaho Falls, ID

NPI number1003034224
StatusActive
Last updated in NPPESDec 2, 2009

Details

NPI
1003034224
Entity type
Organization (NPI-2)
Legal business name
Childrens Supportive Services Incorporated
Organization subpart
No
Enumeration date
Apr 23, 2007
Last updated
Dec 2, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management––Yes

Practice location

1600 E Lincoln Rd
Idaho Falls, ID 83401-2144

Phone 208-524-8996 · Fax 208-524-1205

Mailing address

1565 E Lincoln Rd
Idaho Falls, ID 83401-2129

Phone 208-524-8996 · Fax 208-524-1205

Authorized official

Cathie Crane
Secretary-Treasurer
2085248996

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