Organization
PORTNEUF VALLEY FAMILY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE ARZOLA (PRESIDENT)
(208) 233-7832
Entity
Organization
Contact information
Practice address
2055 GARRETT WAY, SUITE 1, POCATELLO, ID 83201-5100
(208) 233-7832
Mailing address
PO BOX 4908, POCATELLO, ID 83205-4908
(208) 233-7832
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/05/2007
Last updated
08/22/2020
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