NPI 1003113465

Blackfoot Behavioral Health, LLC

Organisation Psychiatric Residential Treatment Facility Blackfoot, ID

Practice location

Address: 75 Lilac St, Blackfoot, ID 83221-1768
Phone: (208) 782-1322
Fax: (208) 782-1074

Authorised official

Name: Sandee Young
Title: Administrator
Phone: (208) 680-0542

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence LCSW26332 (ID)

Other Psychiatric Residential Treatment Facility providers in Idaho →

Registry record

NPI: 1003113465
Entity type: Organization
NPI issued: 22 Feb 2011
Record last updated: 22 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.