Organization
A COMPASS IN LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN WESLEY COLEMAN BA, PSYCHOLOGY (SERVICE COORDINATOR)
(208) 406-7994
Entity
Organization
Contact information
Practice address
2446 COLEMAN ST, POCATELLO, ID 83201-2103
(208) 406-7994
Mailing address
2446 COLEMAN ST, POCATELLO, ID 83201-2103
(208) 406-7994
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
ID
Other
Enumeration date
06/01/2010
Last updated
06/01/2010
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