NPI 1104665587

Ashton Memorial INC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Idaho Falls, ID

Practice location

Address: 2935 Rollandet St, Idaho Falls, ID 83402-4654
Phone: (208) 542-2905
Fax: (208) 522-2427
Mailing address: PO Box 838, Ashton, ID 83420-0838

Authorised official

Name: Suzanne Brady
Title: Hr Director/Compliance Officer
Phone: (208) 652-7461

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Idaho →

Registry record

NPI: 1104665587
Entity type: Organization
NPI issued: 23 May 2024
Record last updated: 23 May 2024

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.