Whalio Doctors

NPI 1417720582

A Bit of Love

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Rexburg, ID

Practice location

Address
2477 Robison Dr, Rexburg, ID 83440-3307
Phone
(208) 716-3659
Mailing address
3751 Redwood CT, Rexburg, ID 83440-4771

Authorised official

Name
Ryan Dee Laird
Title
Part Owner
Phone
(208) 716-3659

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X

Registry record

NPI
1417720582
Entity type
Organization
NPI issued
1 Nov 2023
Record last updated
10 Aug 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.