BONNEVILLE COUNTY
Organization (NPI-2)
Active
Case Management
Provider Information
- NPI Number
1891973392- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 445 N CAPITAL AVE, IDAHO FALLS, ID, 834023652
- Phone
- (208) 705-5071
- Fax
- (208) 523-5974
Specialties & Taxonomies
Case Management
Primary License: ID #LCSW-24942