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

PROSPER DDA

Active Organization

PROSPER DDA is a Behavioral Health, Residential organization located in POCATELLO, Idaho. NPI 1083362065 is currently active in the NPPES registry. Verify at CMS.

Behavioral Health, Residential · POCATELLO, ID

Registration Details

NPI Number
1083362065
Provider Type
Organization
NPI Issued
Mar 17, 2022 (4.4446282234319 yrs)
Last Updated
Mar 17, 2022

Practice Information

Address
2293 JACQUELINE LN
POCATELLO, ID, 832011867
Browse ID providers · Browse ZIP 83201
Phone
2088217410
Primary Specialty
Behavioral Health, Residential
251C00000X

Other Behavioral Health, Residential 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.