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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC

Active Organization

ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC is a Developmental Disabilities Clinic organization located in POCATELLO, Idaho. NPI 1063671469 is currently active in the NPPES registry. Verify at CMS.

Developmental Disabilities Clinic · POCATELLO, ID

Registration Details

NPI Number
1063671469
Provider Type
Organization
NPI Issued
Jun 2, 2008 (18.210063292722 yrs)
Last Updated
Apr 2, 2009
Licenses
261QM0850X (ID)
261QM0801X (ID)
261QD1600X (ID)

Practice Information

Address
151 N 3RD AVE
SUITE 110
POCATELLO, ID, 832016331
Browse ID providers · Browse ZIP 83201
Phone
2082325622
Fax
2082334639
Primary Specialty
Developmental Disabilities Clinic
261QD1600X
Additional Specialty
Mental Health Clinic

Other Developmental Disabilities Clinic Organizations in POCATELLO, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.