| Organization Name: | LDS FAMILY SERVICES |
| NPI Number: | 1013122563 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LORI THROCKMORTON (AGENCY DIRECTOR) |
| Mailing Address: | 1418 Fillmore St Twin Falls |
| State: | ID US |
| Postal Code: | 833013380 |
| Phone Number: | 2087352237 |
| Fax Number: | 2087358552 |
| NPI Enumeration Date: | 05/10/2007 |
| NPI Last Update Date: | 06/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 21136 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |