IDAHO STATE UNIVERSITY DEPARTMENT OF FAMILY MEDICINE is a community behavioral health in Pocatello, ID. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. IDAHO STATE UNIVERSITY DEPARTMENT OF FAMILY MEDICINE NPI is 1780032326. The provider is registered as an organization entity type.
The provider's business location address is:
465 MEMORIAL DR
POCATELLO, ID
ZIP 83201-008
Phone: (208) 282-4141
The provider's authorized official is Laurie Powell .
The authorized official title is Authorization Specialist and has the following contact phone number (208) 232-6260.
The CLIA number assigned to this NPI record is 13D2099323 - health fair with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/24/2016 and was last updated on 5/24/2016.