Whalio Doctors

NPI 1174876205

Bright Tomorrows Child Advocacy Center

Organisation Case Management Agency Pocatello, ID

Practice location

Address
409 Washington Avenue, Pocatello, ID 83201
Phone
(208) 234-2646
Fax
(208) 232-0035
Mailing address
409 Washington Ave, Pocatello, ID 83201-4520

Authorised official

Name
Taunya Pew
Title
Office Manager
Phone
(208) 234-2646

Registered specialties

Case Management Agency Primary
Agencies Taxonomy 251B00000X Licence LPC-3941 (ID)

Registry record

NPI
1174876205
Entity type
Organization
NPI issued
26 Oct 2012
Record last updated
26 Oct 2012

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.