Family And Children'S Rehabilitative Services in St Maries - Community/behavioral Health
Family And Children'S Rehabilitative Services - NPI 1578602793
Family And Children'S Rehabilitative Services is a Community/behavioral Health in St Maries, Idaho. Family And Children'S Rehabilitative Services practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Family And Children'S Rehabilitative Services is 1578602793. The last update date is 2020-08-22.
Family And Children'S Rehabilitative Services's current location address is 622 W College Ave, St Maries, Idaho. You can contact this provider via phone number 2082454363 and fax number 2082454349. The mailing address for Family And Children'S Rehabilitative Services is 622 W College Ave, St Maries, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Family And Children'S Rehabilitative Services |
|---|---|
| Address | 622 W College Ave, St Maries, Idaho |
| Phone Number | 2082454363 |
| Fax Number | 2082454349 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER ADMI |
|---|---|
| Authorized Official Name | Gimmeson Leon Bryan |
| Telephone Number | 2087711262 |
NPI Number Detail
| NPI Number | 1578602793 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 622 W College Ave |
|---|---|
| City | St Maries |
| State | Idaho (ID) |
| Post Code | 838611822 |
| Phone Number | 2082454363 |
| Fax Number | 2082454349 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the unique provider identifier assigned to Family And Children'S Rehabilitative Services?
The Family And Children'S Rehabilitative Services has been issued the NPI (National Provider Identifier) 1578602793 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Family And Children'S Rehabilitative Services?
The Family And Children'S Rehabilitative Services is situated at 622 W College Ave, in the city of St Maries, state of ID, with the zip code 838611822.
What is the Family And Children'S Rehabilitative Services's area of specialization and corresponding taxonomy classification?
The Family And Children'S Rehabilitative Services's specialty field is Community/behavioral Health, and it falls under the taxonomy code 251S00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1578602793 to Family And Children'S Rehabilitative Services?
The Centers for Medicare & Medicaid Services assigned the 1578602793 to Family And Children'S Rehabilitative Services on 2007-02-05.
As of what date were the Family And Children'S Rehabilitative Services's details last updated?
The information pertaining to the Family And Children'S Rehabilitative Services, including its address, specialty, and other details, was most recently updated on 2020-08-22.