OrganizationActive
Ashton Memorial Inc
NPI 1104665587 · Emotionally Disturbed Childrens' Residential Treatment Facility · Idaho Falls, ID
Provider details
- NPI number
- 1104665587
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Suzanne Brady, Hr Director/Compliance Officer
Practice location
2935 Rollandet St
Idaho Falls, ID 83402-4654
Phone: (208) 542-2905
Fax: (208) 522-2427
Mailing address
Po Box 838
Ashton, ID 83420-0838
Registry dates
- Enumerated
- 2024-05-23
- Last updated
- 2024-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.