OrganizationActive
Cameron Staley PHD LLC
NPI 1295589935 · Adult Mental Health Clinic/Center · Chubbuck, ID
Provider details
- NPI number
- 1295589935
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Cameron Staley, Manager
Mailing address
5026 Cassie Dr
Chubbuck, ID 83202-5252
Registry dates
- Enumerated
- 2024-04-17
- Last updated
- 2024-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.