Organization
LIFE QUEST FAMILY SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIN MERLIN NIELSON (PRESIDENT)
(208) 861-1223
Entity
Organization
Contact information
Practice address
586 1ST ST, IDAHO FALLS, ID 83401-3963
(208) 529-2920
Mailing address
586 1ST ST, IDAHO FALLS, ID 83401-3963
(208) 529-2920
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
V38051FN
ID
251S00000X
Community/Behavioral Health Agency
Primary
—
ID
Other
Enumeration date
01/24/2007
Last updated
08/22/2020
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