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 |
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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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