Organization · NPI-2
Affirm Human Services
Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Idaho Falls, ID
NPI number1154034189
StatusActive
Last updated in NPPESJan 19, 2023
Details
- NPI
- 1154034189
- Entity type
- Organization (NPI-2)
- Legal business name
- Affirm Human Services
- Organization subpart
- No
- Enumeration date
- Jan 4, 2023
- Certification date
- Jan 19, 2023
- Last updated
- Jan 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
2743 E Iona RdIdaho Falls, ID 83401-1343
Phone 208-520-2929
Mailing address
2743 E Iona RdIdaho Falls, ID 83401-1343
Authorized official
Angel L Johnson
Chief Admin Officer
2085202929
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