Provider Demographics
NPI:1992040323
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:DIRETOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:B.
Authorized Official - Middle Name:ROBB
Authorized Official - Last Name:REDFORD
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:208-478-9822
Mailing Address - Street 1:P.O. BOX 4692
Mailing Address - Street 2:
Mailing Address - City:POCATELLO
Mailing Address - State:ID
Mailing Address - Zip Code:83205
Mailing Address - Country:US
Mailing Address - Phone:208-478-9822
Mailing Address - Fax:208-478-6790
Practice Address - Street 1:732 WASHINGTON
Practice Address - Street 2:
Practice Address - City:POCATELLO
Practice Address - State:ID
Practice Address - Zip Code:83201
Practice Address - Country:US
Practice Address - Phone:208-478-9822
Practice Address - Fax:208-478-6790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-12
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLMSW-31940261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)