Organization
CLUB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEE CRIDDLE (LNSW)
(208) 241-1377
Entity
Organization
Contact information
Practice address
2001 S WOODRUFF, SUITE 6, IDAHO FALLS, ID 83404
(208) 529-4673
(208) 529-4676
Mailing address
2001 S WOODRUFF AVE, SUITE 6, IDAHO FALLS, ID 83404-6374
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LMSW-30202
ID
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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