1063671469 ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC
Developmental Disabilities Clinic/Center
Active
Basic Information
- Organization Name
- ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC
- Enumeration Date
- June 2, 2008
- Last Update
- April 2, 2009
- Authorized Official
- MR. VANCE RAY WALKER
OWNER/EXECUTIVE DIRECTOR
Phone: (208) 232-5622
Practice Location
- Address
- 151 N 3RD AVE
SUITE 110
POCATELLO, ID 832016331 - Phone
- (208) 232-5622
- Fax
- (208) 233-4639
Mailing Address
- Address
- 151 N 3RD AVE
SUITE 110
POCATELLO, ID 832016331 - Phone
- (208) 232-5622
- Fax
- (208) 233-4639
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Adult Mental Health Clinic/Center Adult Mental Health | 261QM0850X | Clinic/Center | 261QM0850X | ID | No |
| Mental Health Clinic/Center (Including Community Mental Health Center) Mental Health (Including Community Mental Health Center) | 261QM0801X | Clinic/Center | 261QM0801X | ID | No |
| Developmental Disabilities Clinic/Center Developmental Disabilities | 261QD1600X | Clinic/Center | 261QD1600X | ID | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 808259000 | 05 | ID | N/A |
| 808257100 | 05 | ID | N/A |
| 808028200 | 05 | ID | N/A |
Frequently Asked Questions
What is ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC's NPI number?
ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC's NPI number is 1063671469.
Which doctor has NPI number 1063671469?
The doctor with NPI number 1063671469 is ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC.
What is ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC's practice address?
ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC's practice address is 151 N 3RD AVE, SUITE 110, POCATELLO, ID, 832016331.
Which doctor practices at 151 N 3RD AVE, SUITE 110, POCATELLO, ID, 832016331?
ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC practices at 151 N 3RD AVE, SUITE 110, POCATELLO, ID, 832016331.
What is ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC's phone number?
ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC's phone number is (208) 232-5622.
Who is (208) 232-5622?
(208) 232-5622 is the phone number for ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC.
What is ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC's specialty?
ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC's specialty is Developmental Disabilities Clinic/Center.
What type of doctor is ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC?
ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC is a Developmental Disabilities Clinic/Center.
Is ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC a Developmental Disabilities?
Yes, ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC is a Developmental Disabilities.
Is ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC still practicing?
Yes, ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC is currently practicing.
Is ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC accepting new patients?
ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC may be accepting new patients. Please call their office at (208) 232-5622 to inquire about availability.
Is NPI 1063671469 still active?
Yes, NPI 1063671469 is currently active.
Where does ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC practice?
ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC practices in POCATELLO, ID.