Organization
COMMUNITY MENTAL HEALTH SERVICES
Active
Organization
COMMUNITY MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER DAVIS (OFFICE MANAGER)
(208) 478-2172
Entity
Organization
Contact information
Practice address
720 E LANDER ST, POCATELLO, ID 83201-6228
(208) 478-2172
Mailing address
720 E LANDER ST, POCATELLO, ID 83201-6228
(208) 478-2172
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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