| The Advocacy And Learning Associates | |
|
850 E Lander St Pocatello ID 83201-5763 | |
| (208) 234-2094 | |
| (208) 234-2637 |
| Full Name | The Advocacy And Learning Associates |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 850 E Lander St, Pocatello, Idaho |
| Authorized Official Name and Position | Preston Graham (OWNER) |
| Authorized Official Contact | 2082342094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Advocacy And Learning Associates 850 E Lander St Pocatello ID 83201-5763 Ph: (208) 234-2094 | The Advocacy And Learning Associates 850 E Lander St Pocatello ID 83201-5763 Ph: (208) 234-2094 |
| NPI Number | 1447473186 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447473186 | NPI | - | NPPES |
| 8041529 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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