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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