Organization
ESPERANZA MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIE LYNN ALLEN LSW (OWNER)
(208) 200-4392
Entity
Organization
Contact information
Practice address
692 EVANS DR, IDAHO FALLS, ID 83402-5026
(208) 200-4392
Mailing address
692 EVANS DR, IDAHO FALLS, ID 83402-5026
(208) 200-4392
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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