Community Support Center, Inc.

NPI 1093938599 - Clinic/Center - 261QM0801X

NPI Details
NPI 1093938599
Enumeration Date 04/11/2007
Last Updated 03/24/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WILLIAM WILLIAM
Position DIRECTOR OF SERVICES
Phone (208) 737-0777
Fax (208) 734-5470
Practice Location
336 MAIN AVE S
TWIN FALLS ID, 83301-6423, US
Phone (208) 737-0777
Fax (208) 734-5470
Business Location
10838 W TIDEWATER CT
BOISE ID, 83713-1137, US
Phone (208) 737-0777
Fax (208) 734-5470
Toxanomy
Taxonomy Code 261QM0801X
License State
License Number
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According to our database, Community Support Center, Inc. NPI is 1093938599, taxonomy code is 261QM0801X Community Support Center, Inc. physically located at 336 Main Ave S, Twin Falls ID, 83301-6423. NPI Number 1033115704 has the healthcare provider type.

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1093938599 NPI number is provided on an as is basis without warranty of any kind. 1093938599 is maintained by the National Plan & Provider Enumeration System. The contents of Community Support Center, Inc. are for informational purposes only.