| A To Z Family Services, Inc. | |
|
732 Washington Ave Pocatello ID 83201-3748 | |
| (208) 478-9822 | |
| (208) 478-6790 |
| Full Name | A To Z Family Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 732 Washington Ave, Pocatello, Idaho |
| Authorized Official Name and Position | Rebecca Jo Perrenoud (DIRECTOR AND CLINICIAN) |
| Authorized Official Contact | 2084789822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A To Z Family Services, Inc. 732 Washington Ave Pocatello ID 83201-3748 Ph: (208) 478-9822 | A To Z Family Services, Inc. 732 Washington Ave Pocatello ID 83201-3748 Ph: (208) 478-9822 |
| NPI Number | 1861544454 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 05/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861544454 | NPI | - | NPPES |
| 805650600 | Medicaid | ID | |
| 806443600 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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