NPI 1053586727

Human Dynamics and Diagnostics

Organisation Community/Behavioral Health Agency Idaho Falls, ID

Practice location

Address: 2267 Teton Plz, Idaho Falls, ID 83404-6486
Phone: (208) 524-4953
Fax: (208) 524-7335

Authorised official

Name: Nikola Andersen
Title: Office Manager
Phone: (208) 524-4953

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Idaho →

Registry record

NPI: 1053586727
Entity type: Organization
NPI issued: 24 Apr 2008
Record last updated: 16 Sep 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.