ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC
Ambulatory Health at 3 Ave, Pocatello, ID

License number
Idaho 261QD1600X
Category
Ambulatory Health
Type
Developmental Disabilities
License number
Idaho 261QM0801X
Category
Ambulatory Health
Type
Mental Health (Including Community Mental Health Center)
License number
Idaho 261QM0850X
Category
Ambulatory Health
Type
Adult Mental Health
Owner
Name: MR. VANCE RAY WALKER
Title: OWNER/EXECUTIVE DIRECTOR
Phone: (208) 232-5622
Address
Address
151 N 3Rd Ave SUITE 110, Pocatello, ID 83201
National Provider ID: 1063671469
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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