Organization
J&M MENTAL HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BERNICE MARLEY LSW (SUPERVISOR)
(208) 782-1102
Entity
Organization
Contact information
Practice address
60 N BROADWAY ST, BLACKFOOT, ID 83221-2706
(208) 782-1102
Mailing address
PO BOX 1472, BLACKFOOT, ID 83221-1472
(208) 782-1102
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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