| Rexburg Eating Disorder Center | |
|
101 E Main St Ste 211 Rexburg ID 83440-2017 | |
| (208) 357-3104 | |
| Not Available |
| Full Name | Rexburg Eating Disorder Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 101 E Main St Ste 211, Rexburg, Idaho |
| Authorized Official Name and Position | Luke Scott Einerson (OWNER) |
| Authorized Official Contact | 2084031826 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rexburg Eating Disorder Center 101 E Main St Ste 211 Rexburg ID 83440-2017 Ph: (208) 357-3104 | Rexburg Eating Disorder Center 101 E Main St Ste 211 Rexburg ID 83440-2017 Ph: (208) 357-3104 |
| NPI Number | 1881353175 |
|---|---|
| Provider Enumeration Date | 12/14/2021 |
| Last Update Date | 09/20/2022 |
| Certification Date | 09/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881353175 | NPI | - | NPPES |
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