Organization
D7 TREATMENT
Active
Other names
Madison County
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT SIDDOWAY LCSW (EXECUTIVE DIRECTOR)
(208) 529-1854
Entity
Organization
Contact information
Practice address
254 E ST STE B, IDAHO FALLS, ID 83402-3527
(208) 339-0816
(208) 523-5974
Mailing address
254 E ST STE B, IDAHO FALLS, ID 83402-3527
(208) 705-6048
(208) 523-5974
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCPC3721
ID
Other
Enumeration date
05/21/2013
Last updated
05/15/2024
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