NPI 1043457021
Behavioral Treatment Services
Practice location
- Address
- 210 E Center St STE B, Pocatello, ID 83201-6326
- Phone
- (208) 234-2600
Authorised official
- Name
- Terri Mugerl
- Title
- Owner
- Phone
- (208) 234-2600
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1043457021
- Entity type
- Organization
- NPI issued
- 14 Jan 2009
- Record last updated
- 14 Jan 2009
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.