LATINO STAND UP is an adolescent and children mental health clinic center in Idaho Falls, ID. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. LATINO STAND UP NPI is 1164781365. The provider is registered as an organization entity type.
The provider's business location address is:
1420 E 17TH ST STE E
IDAHO FALLS, ID
ZIP 83404-283
Phone: (208) 528-5434
Fax: (208) 522-4364
The provider's authorized official is Roger T Horne .
The authorized official title is Owner and has the following contact phone number (910) 573-0861.
The enumeration date for this NPI number is 5/8/2012 and was last updated on 3/31/2013.