Candlewood Family Counseling Center, Inc.

NPI 1093911828 - Clinic/Center - 261QM0801X

NPI Details
NPI 1093911828
Enumeration Date 06/27/2007
Last Updated 02/19/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ELLA ELLA
Position PRESIDENT, ADMINISTRATOR
Phone (208) 478-8340
Fax (208) 478-8341
Practice Location
335 N MAIN ST
POCATELLO ID, 83204-3108, US
Phone (208) 478-8340
Fax (208) 478-8341
Business Location
PO BOX 2306
POCATELLO ID, 83206-2306, US
Phone (208) 478-8340
Fax (208) 478-8341
Toxanomy
Taxonomy Code 261QM0801X
License State
License Number
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According to our database, Candlewood Family Counseling Center, Inc. NPI is 1093911828, taxonomy code is 261QM0801X Candlewood Family Counseling Center, Inc. physically located at 335 N Main St, Pocatello ID, 83204-3108. NPI Number 1033115704 has the healthcare provider type.

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1093911828 NPI number is provided on an as is basis without warranty of any kind. 1093911828 is maintained by the National Plan & Provider Enumeration System. The contents of Candlewood Family Counseling Center, Inc. are for informational purposes only.