Organization
A TO Z FAMILY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA JO PERRENOUD LCSW CIBI (DIRECTOR AND CLINICIAN)
(208) 478-9822
Entity
Organization
Contact information
Practice address
732 WASHINGTON AVE, POCATELLO, ID 83201-3748
(208) 478-9822
(208) 478-6790
Mailing address
732 WASHINGTON AVE, POCATELLO, ID 83201-3748
(208) 478-9822
(208) 478-6790
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805650600
—
ID
05
—
806443600
—
ID
Enumeration date
01/17/2007
Last updated
05/21/2013
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