Provider Demographics
NPI:1053732263
Name:A TO Z FAMILY SERVICES
Entity type:Organization
Organization Name:A TO Z FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:ROBB
Authorized Official - Last Name:REDFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:208-478-9822
Mailing Address - Street 1:732 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:POCATELLO
Mailing Address - State:ID
Mailing Address - Zip Code:83201-3748
Mailing Address - Country:US
Mailing Address - Phone:208-478-9822
Mailing Address - Fax:208-478-6790
Practice Address - Street 1:380 N CAPITAL AVE
Practice Address - Street 2:
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83402-3633
Practice Address - Country:US
Practice Address - Phone:208-881-5059
Practice Address - Fax:888-898-0407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-16
Last Update Date:2013-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)