National Provider Identifier Database

PORTNEUF RIVER CENTER
Psychiatric/Mental Health, Child & Adolescent


Contact Information

PORTNEUF RIVER CENTER
427 N ARTHUR AVE STE B
POCATELLO, ID83204-3006
Phone: 208-233-2998
Fax: 208-232-0881
Website:
Specialty Taxonomy Code
* Psychiatric/Mental Health, Child & Adolescent 364SP0807X

* Indicates primary specialty

NPI Profile & details for PORTNEUF RIVER CENTER

NPI Number 1518006113
Legal business name
LBN
PORTNEUF RIVER CENTER
Authorized official KATHLEEN WERNER-LEAP - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 02/06/2007
Last updated 07/18/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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