1043556608 LATINO STAND UP IDAHO LLC

Mental Health Clinic/Center (Including Community Mental Health Center)

Active

Basic Information

Organization Name
LATINO STAND UP IDAHO LLC
Enumeration Date
December 28, 2012
Last Update
May 23, 2013
Authorized Official
MR. ROGER HORNE
OWNER
Phone: (910) 573-0861

Practice Location

Address
1680 WOODRUFF PARK
IDAHO FALLS, ID 834013330
Phone
(208) 552-6373
Fax
(208) 552-2188

Mailing Address

Address
1680 WOODRUFF PARK
IDAHO FALLS, ID 834013330
Phone
(208) 552-6373
Fax
(208) 552-2188

Specialties & Taxonomies

Specialty Code Classification License State Primary
Adult Mental Health Clinic/Center
Adult Mental Health
261QM0850X Clinic/Center N/A N/A No
Community/Behavioral Health Agency
251S00000X Community/Behavioral Health N/A N/A No
Child & Adolescent Psychiatry Physician
Child & Adolescent Psychiatry
2084P0804X Psychiatry & Neurology N/A N/A No
Medical Physician Assistant
Medical
363AM0700X Physician Assistant N/A N/A No
Clinical Nurse Specialist
364S00000X Clinical Nurse Specialist N/A N/A No
Substance Use Disorder Rehabilitation Clinic/Center
Rehabilitation, Substance Use Disorder
261QR0405X Clinic/Center N/A N/A No
Case Management Agency
251B00000X Case Management N/A N/A No
Mental Health Clinic/Center (Including Community Mental Health Center)
Mental Health (Including Community Mental Health Center)
261QM0801X Clinic/Center N/A N/A Primary

Frequently Asked Questions

What is LATINO STAND UP IDAHO LLC's NPI number?
LATINO STAND UP IDAHO LLC's NPI number is 1043556608.
Which doctor has NPI number 1043556608?
The doctor with NPI number 1043556608 is LATINO STAND UP IDAHO LLC.
What is LATINO STAND UP IDAHO LLC's practice address?
LATINO STAND UP IDAHO LLC's practice address is 1680 WOODRUFF PARK, IDAHO FALLS, ID, 834013330.
Which doctor practices at 1680 WOODRUFF PARK, IDAHO FALLS, ID, 834013330?
LATINO STAND UP IDAHO LLC practices at 1680 WOODRUFF PARK, IDAHO FALLS, ID, 834013330.
What is LATINO STAND UP IDAHO LLC's phone number?
LATINO STAND UP IDAHO LLC's phone number is (208) 552-6373.
Who is (208) 552-6373?
(208) 552-6373 is the phone number for LATINO STAND UP IDAHO LLC.
What is LATINO STAND UP IDAHO LLC's specialty?
LATINO STAND UP IDAHO LLC's specialty is Mental Health Clinic/Center (Including Community Mental Health Center).
What type of doctor is LATINO STAND UP IDAHO LLC?
LATINO STAND UP IDAHO LLC is a Mental Health Clinic/Center (Including Community Mental Health Center).
Is LATINO STAND UP IDAHO LLC a Mental Health (Including Community Mental Health Center)?
Yes, LATINO STAND UP IDAHO LLC is a Mental Health (Including Community Mental Health Center).
Is LATINO STAND UP IDAHO LLC still practicing?
Yes, LATINO STAND UP IDAHO LLC is currently practicing.
Is LATINO STAND UP IDAHO LLC accepting new patients?
LATINO STAND UP IDAHO LLC may be accepting new patients. Please call their office at (208) 552-6373 to inquire about availability.
Is NPI 1043556608 still active?
Yes, NPI 1043556608 is currently active.
Where does LATINO STAND UP IDAHO LLC practice?
LATINO STAND UP IDAHO LLC practices in IDAHO FALLS, ID.