BANNOCK YOUTH FOUNDATION is an addiction (substance use disorder) counselor in Pocatello, ID. BANNOCK YOUTH FOUNDATION NPI is 1245665470. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As M.k. Place.
The provider's business location address is:
110 SOUTH 19TH
POCATELLO, ID
ZIP 83201
Phone: (208) 234-4722
Fax: (208) 234-2135
The provider's authorized official is Cindy K Hansen .
The authorized official title is Clinical Director and has the following contact phone number (208) 234-4722.
The enumeration date for this NPI number is 9/6/2013 and was last updated on 9/6/2013.