NPI 1477016947

Intrinsic Holdings Corp

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Idaho Falls, ID

Practice location

Address: 9006 E Cedar Point Ln, Idaho Falls, ID 83401-4834
Phone: (208) 716-3259
Mailing address: PO Box 1672, Idaho Falls, ID 83403-1672

Authorised official

Name: Shawn Johansson
Title: Director
Phone: (208) 716-3259

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Idaho →

Registry record

NPI: 1477016947
Entity type: Organization
NPI issued: 10 Apr 2019
Record last updated: 10 Apr 2019

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.