Organization
COMMUNITY MENTAL HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AMBER DAWN DAVIS (OFFICE MANAGER)
(208) 478-2172
Entity
Organization
Contact information
Practice address
720 E. LANDER, POCATELLO, ID 83201
(208) 478-2172
(208) 478-2174
Mailing address
720 E LANDER ST, POCATELLO, ID 83201-6228
(208) 478-2172
(208) 478-2174
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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