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Organization
FAMILY RESOURCE CENTERS OF AMERICA, INC
Active
Organization
FAMILY RESOURCE CENTERS OF AMERICA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEESA MORGAN BA (EXECUTIVE ASSISTANT)
(208) 552-1222
Entity
Organization
Contact information
Practice address
3422 S 15TH E, IDAHO FALLS, ID 83404-8262
(208) 552-1222
(208) 552-3377
Mailing address
3422 S 15TH E, IDAHO FALLS, ID 83404-8262
(208) 552-1222
(208) 552-3377
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805 384 500
—
ID
Enumeration date
10/15/2013
Last updated
10/15/2013
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