IDAHO DEPT OF HEALTH & WELFARE REGION 7 CMH CLINIC REXBURG NPI 1447386867

NPI Information

IDAHO DEPT OF HEALTH & WELFARE REGION 7 CMH CLINIC REXBURG is an adolescent and children mental health clinic center in Rexburg, 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. IDAHO DEPT OF HEALTH & WELFARE REGION 7 CMH CLINIC REXBURG NPI is 1447386867. The provider is registered as an organization entity type.

The provider's business location address is:

333 WALKER DR
REXBURG, ID
ZIP 83440-657
Phone: (208) 359-4751
Fax: (208) 356-5461

The provider's authorized official is Melissa M Bean .
The authorized official title is Program Manager and has the following contact phone number (208) 528-5706.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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