Adolescent & Child Development Center, LLC
NPI 1063671469 · Developmental Disabilities Clinic/Center · Pocatello, ID
Adolescent & Child Development Center, LLC is a Developmental Disabilities Clinic/Center organization in Pocatello, ID (NPI 1063671469).
Provider details
- NPI number
- 1063671469
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Vance Walker, Owner/Executive Director(208) 232-5622
- License
- 261QM0850X (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Mental Health Clinic/Center (Including Community Mental Health Center)261QM0801XLicense 261QM0801X (ID)
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-06-02
- Last updated
- 2009-04-02
Frequently asked questions
- What is Adolescent & Child Development Center, LLC's NPI number?
- Adolescent & Child Development Center, LLC's National Provider Identifier (NPI) is 1063671469, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Adolescent & Child Development Center, LLC?
- Adolescent & Child Development Center, LLC is classified in the NPPES registry as Developmental Disabilities Clinic/Center (Ambulatory Health Care Facilities).
- Where is Adolescent & Child Development Center, LLC located?
- Adolescent & Child Development Center, LLC's practice location on file with NPPES is 151 N 3rd Ave, Pocatello, ID 83201-6331.
- What is Adolescent & Child Development Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Adolescent & Child Development Center, LLC is (208) 232-5622.
- Who is the authorized official for Adolescent & Child Development Center, LLC?
- The authorized official listed on Adolescent & Child Development Center, LLC's NPPES record is Vance Walker, Owner/Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Adolescent & Child Development Center, LLC's NPI active?
- Yes — Adolescent & Child Development Center, LLC's NPI (1063671469) is active in the NPPES registry as of the last update on 2009-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.