NPI Index

LATINO STAND UP IDAHO LLC

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

Active Organization
NPI: 1649539495

Practice Address

1680 WOODRUFF PARK
SUITE A
Idaho Falls, ID 83401

Phone: (208) 346-2222

Specialties

Specialty Code Primary License
Case Management 251B00000X No -
Community/Behavioral Health 251S00000X No -
Clinic/Center - Adult Mental Health 261QM0850X No -
Clinic/Center - Adolescent and Children Mental Health 261QM0855X No -
Clinic/Center - Rehabilitation, Substance Use Disorder 261QR0405X No -
Registered Nurse 163W00000X No -
Psychiatry & Neurology - Child & Adolescent Psychiatry 2084P0804X No -
Physician Assistant - Medical 363AM0700X No -
Clinic/Center - Mental Health (Including Community Mental Health Center) 261QM0801X Yes -

Frequently Asked Questions

NPI 1649539495 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 May 15, 2012.

Quick Facts

NPI
1649539495
Type
Organization
Enumerated
May 15, 2012
Last Updated
May 20, 2013

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