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Substance Use Disorder Rehabilitation Clinic/Center · POCATELLO, ID

Organization Active NPI 1255971024

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Substance Use Disorder Rehabilitation Clinic/Center261QR0405X
Mental Health Counselor101YM0800X
Peer Specialist175T00000X
Case Management Agency251B00000X
Community/Behavioral Health Agency251S00000X
Adult Mental Health Clinic/Center261QM0850X
Adolescent and Children Mental Health Clinic/Center261QM0855X
Substance Abuse Rehabilitation Facility324500000X
Children's Substance Abuse Rehabilitation Facility3245S0500X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.