Provider Demographics
NPI:1225189277
Name:A TO Z FAMILY SERVICES INC.
Entity Type:Organization
Organization Name:A TO Z FAMILY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR AND CLINICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:PERRENOUD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW CIBI
Authorized Official - Phone:208-226-1751
Mailing Address - Street 1:2798 AUTHUR AVENUE
Mailing Address - Street 2:
Mailing Address - City:AMERICAN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83211
Mailing Address - Country:US
Mailing Address - Phone:208-226-1751
Mailing Address - Fax:208-229-1761
Practice Address - Street 1:2798 ARTHUR ST
Practice Address - Street 2:
Practice Address - City:AMERICAN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83211-5413
Practice Address - Country:US
Practice Address - Phone:208-226-1751
Practice Address - Fax:208-226-1767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID8M891Medicare UPIN