Organization · NPI-2

A To Z Family Services LLC Idaho Falls Branch

Community/Behavioral Health · Idaho Falls, ID

NPI number1962553792
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1962553792
Entity type
Organization (NPI-2)
Legal business name
A To Z Family Services LLC Idaho Falls Branch
Organization subpart
No
Enumeration date
Jan 16, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral HealthDo not have oneIDYes

Practice location

558 G St
Idaho Falls, ID 83402-3458

Phone 208-524-7400 · Fax 208-524-8004

Mailing address

558 G St
Idaho Falls, ID 83402-3458

Phone 208-524-7400 · Fax 208-524-8004

Authorized official

Rebecca Jo Perrenoud
Director And Clinician
2085247400

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