Organization
COMMUNITY MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEED MARTIN (PRESIDENT)
(706) 691-9195
Entity
Organization
Contact information
Practice address
720 E LANDER ST, POCATELLO, ID 83201-6228
(706) 691-9195
Mailing address
720 E LANDER ST, POCATELLO, ID 83201-6228
(706) 691-9195
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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