Organization
FAMILY CARE CENTER, INC
Active
Other names
FAMILY CARE CENTER, INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THANA SINGARAJAH LPCP69 (EXECUTIVE DIRECTOR)
(208) 529-8832
Entity
Organization
Contact information
Practice address
148 N CORNER ST, IDAHO FALLS, ID 83402-4032
(208) 523-0785
(208) 523-0785
Mailing address
1740 E 17TH ST STE B, IDAHO FALLS, ID 83404-6375
(208) 529-8832
(208) 522-8725
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8M343
BLUE CROSS OF IDAHO
ID
Enumeration date
03/15/2007
Last updated
07/21/2022
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