BANNOCK COUNTY JUVENILE JUSTICE
Organization (NPI-2)
Active
Case Management
Provider Information
- NPI Number
1982895884- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 624 E CENTER ST, POCATELLO, ID, 832016274
- Phone
- (208) 236-0606
- Fax
- (208) 234-1094
Specialties & Taxonomies
Case Management
Primary License: ID