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Organization

HUMAN DYNAMICS AND DEVELOPMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KYLIE HANSEN (OFFICE MANAGER)
(208) 522-0140
Entity
Organization

Contact information

Practice address
2267 TETON PLZ, IDAHO FALLS, ID 83404-6486
(208) 522-0140
(208) 524-7335
Mailing address
2267 TETON PLZ, IDAHO FALLS, ID 83404-6486
(208) 522-0140
(208) 524-7335

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
35820
ID

Other

Enumeration date
12/30/2016
Last updated
12/30/2016
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