NPI Index

LATINO STAND UP IDAHO LLC

Clinic/Center - Mental Health (Including Community Mental Health Center)

Active Organization
NPI: 1043556608

Practice Address

1680 WOODRUFF PARK
Idaho Falls, ID 83401

Phone: (208) 552-6373

Specialties

Specialty Code Primary License
Clinic/Center - Adult Mental Health 261QM0850X No -
Community/Behavioral Health 251S00000X No -
Psychiatry & Neurology - Child & Adolescent Psychiatry 2084P0804X No -
Physician Assistant - Medical 363AM0700X No -
Clinical Nurse Specialist 364S00000X No -
Clinic/Center - Rehabilitation, Substance Use Disorder 261QR0405X No -
Case Management 251B00000X No -
Clinic/Center - Mental Health (Including Community Mental Health Center) 261QM0801X Yes -

Frequently Asked Questions

NPI 1043556608 is the National Provider Identifier for LATINO STAND UP IDAHO LLC, a Clinic/Center - Mental Health (Including Community Mental Health Center) provider located in Idaho Falls, ID. This NPI was enumerated on December 28, 2012.

Quick Facts

NPI
1043556608
Type
Organization
Enumerated
Dec 28, 2012
Last Updated
May 23, 2013

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