Organization
FAMILY CARE CENTER, INC
Active
Other names
FAMILY CARE CENTER, INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THANA SINGARAJAH LPCP-69 (EXECUTIVE DIRECTOR)
(208) 529-8832
Entity
Organization
Contact information
Practice address
1740 E 17TH ST STE B, IDAHO FALLS, ID 83404-6375
(208) 529-8832
(208) 522-8725
Mailing address
310 N 2ND E STE 114, REXBURG, ID 83440-1606
(208) 359-0581
(208) 359-1125
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010006240
BLUE SHIELD OF IDAHO
ID
01
—
8J513
BLUE CROSS OF IDAHO
ID
Enumeration date
03/15/2007
Last updated
07/21/2022
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