Organization
A TO Z FAMILY SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA J PERRENOUD LCSW CIBI (DIRECTOR)
(208) 785-1326
Entity
Organization
Contact information
Practice address
732 WASHINGTON AVE, POCATELLO, ID 83201-3748
(208) 478-9822
(208) 478-6790
Mailing address
732 WASHINGTON AVE, POCATELLO, ID 83201-3748
(208) 478-9822
(208) 478-6790
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8L345
BLUE CROSS POCATELLO
ID
Enumeration date
04/23/2007
Last updated
08/22/2020
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