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493 Eastland Dr Twin Falls ID 83301-7480 | |
| (208) 732-0995 | |
| (208) 732-0993 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 493 Eastland Dr, Twin Falls, Idaho |
| Authorized Official Name and Position | Carmen Babb (OWNER) |
| Authorized Official Contact | 2087320995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 47 Twin Falls ID 83303-0047 Ph: (208) 732-0995 | 493 Eastland Dr Twin Falls ID 83301-7480 Ph: (208) 732-0995 |
| NPI Number | 1013204957 |
|---|---|
| Provider Enumeration Date | 06/29/2011 |
| Last Update Date | 06/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013204957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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