| The Children's Center | |
|
1151 Hospital Way Pocatello ID 83201-2763 | |
| (208) 233-3353 | |
| (208) 233-1923 |
| Full Name | The Children's Center |
|---|---|
| Speciality | Social Worker |
| Location | 1151 Hospital Way, Pocatello, Idaho |
| Authorized Official Name and Position | Trevor Crapo (CLINICIAN) |
| Authorized Official Contact | 2082333353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Children's Center 2150 Steven St Pocatello ID 83201-1957 Ph: (208) 757-8434 | The Children's Center 1151 Hospital Way Pocatello ID 83201-2763 Ph: (208) 233-3353 |
| NPI Number | 1952412033 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 03/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952412033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | LMSW-27085 (Idaho) | Primary |
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