OrganizationActive
Community Mental Health Services
NPI 1609206309 · Developmental Disabilities Clinic/Center · Pocatello, ID
Provider details
- NPI number
- 1609206309
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amber Davis, Office Manager(208) 478-2172
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
720 E Lander St
Pocatello, ID 83201-6228
Phone: (208) 478-2172
Approximate (ZIP-level) locationGet directions
Mailing address
720 E Lander St
Pocatello, ID 83201-6228
Registry dates
- Enumerated
- 2013-11-15
- Last updated
- 2013-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.