Organization
EASTERN IDAHO COMMUNITY ACTION PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL SPAIN (EXECUTIVE DIRECTOR)
(208) 522-5391
Entity
Organization
Contact information
Practice address
935 E LINCOLN RD, IDAHO FALLS, ID 83401-2119
(208) 522-5391
(208) 522-5453
Mailing address
PO BOX 51098, IDAHO FALLS, ID 83405-1098
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/10/2013
Last updated
10/10/2013
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