| New Generations Children And Family Center Inc | |
|
1023 Yellowstone Ave Suite J Pocatello ID 83201-4478 | |
| (208) 478-9551 | |
| (208) 478-1507 |
| Full Name | New Generations Children And Family Center Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1023 Yellowstone Ave, Pocatello, Idaho |
| Authorized Official Name and Position | Cindy L Brown (CEO) |
| Authorized Official Contact | 2084789551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Generations Children And Family Center Inc 1023 Yellowstone Ave Suite J Pocatello ID 83201-4478 Ph: (208) 478-9551 | New Generations Children And Family Center Inc 1023 Yellowstone Ave Suite J Pocatello ID 83201-4478 Ph: (208) 478-9551 |
| NPI Number | 1831249069 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 10/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831249069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-25347 (Idaho) | Primary |
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