Organization
POPPY CHILDREN'S CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA IMGRUND MA (CO-OWNER)
(630) 240-4437
Entity
Organization
Contact information
Practice address
784 S CLEARWATER LOOP STE B, POST FALLS, ID 83854-9599
(630) 240-4437
Mailing address
784 S CLEARWATER LOOP STE B, POST FALLS, ID 83854-9599
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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