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BEHAVIORAL REFORM INC

Organization (NPI-2) Active

Community/Behavioral Health

Provider Information

NPI Number
1023221504
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
1135 YELLOWSTONE AVE STE D, POCATELLO, ID, 832014371
Phone
(208) 238-9400
Fax
(208) 238-9401

Specialties & Taxonomies

Community/Behavioral Health Primary License: ID #PSY-164

All Addresses

MAILING

310 N SHILLING AVE

BLACKFOOT, ID, 832212334

(208) 782-0376

LOCATION

1135 YELLOWSTONE AVE STE D

POCATELLO, ID, 832014371

(208) 238-9400