Organization
FAMILY RESOURCE CENTERS OF AMERICA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEESA MORGAN BA (EXECUTIVE ASSISTANT)
(208) 552-1222
Entity
Organization
Contact information
Practice address
3422 S 15TH E, IDAHO FALLS, ID 83404-8262
(208) 552-1222
(208) 552-3377
Mailing address
3422 S 15TH E, IDAHO FALLS, ID 83404-8262
(208) 552-1222
(208) 552-3377
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805 384 500
—
ID
Enumeration date
10/15/2013
Last updated
10/15/2013
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