Organization
FAMILY PATHWAYS COOPERATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDEE K. YOUNG LCSW (PRESIDENT)
(208) 782-1322
Entity
Organization
Contact information
Practice address
34 LOUELLA ST, BLACKFOOT, ID 83221-1609
(208) 782-1322
(208) 782-1322
Mailing address
34 LOUELLA ST, BLACKFOOT, ID 83221-1609
(208) 782-1322
(208) 782-1322
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
805523800
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805523800
—
ID
Enumeration date
03/05/2007
Last updated
10/23/2023
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