Organization
PORTNEUF VALLEY FAMILY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE ARZOLA (OWNER)
(208) 233-7832
Entity
Organization
Contact information
Practice address
725 JENSEN GROVE DR, SUITE 5, BLACKFOOT, ID 83221-1636
(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
05/08/2007
Last updated
08/22/2020
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