Organization
LITTLE ANGELS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA CRUZ RN (OWNER)
(208) 346-2222
Entity
Organization
Contact information
Practice address
1680 WOODRUFF PARK, IDAHO FALLS, ID 83401-3330
(208) 346-2222
Mailing address
1680 WOODRUFF PARK, IDAHO FALLS, ID 83401-3330
(208) 346-2222
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/31/2012
Last updated
03/14/2013
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