# FAMILY CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992902530
- **Authorized official:** MR. THANA SINGARAJAH (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (208) 529-8832

## Contact information

- **Practice address:** 1740 E 17TH ST STE B, IDAHO FALLS, ID 83404-6375
- **Practice address phone:** (208) 529-8832
- **Practice address fax:** (208) 522-8725
- **Mailing address:** 1740 E 17TH ST STE B, IDAHO FALLS, ID 83404-6375
- **Mailing address phone:** (208) 529-8832
- **Mailing address fax:** (208) 522-8725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | MD | ID | Yes |

## Other

- **Enumeration date:** 06/28/2007
- **Last updated:** 08/22/2020