| Educell | |
|
265 Spring Ln Clark Fork ID 83811-5502 | |
| (801) 755-7327 | |
| Not Available |
| Full Name | Educell |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 265 Spring Ln, Clark Fork, Idaho |
| Authorized Official Name and Position | Cade Dopp (OWNER) |
| Authorized Official Contact | 8017557327 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Educell 265 Spring Ln Clark Fork ID 83811-5502 Ph: (801) 755-7327 | Educell 265 Spring Ln Clark Fork ID 83811-5502 Ph: (801) 755-7327 |
| NPI Number | 1821886318 |
|---|---|
| Provider Enumeration Date | 04/25/2025 |
| Last Update Date | 05/21/2025 |
| Certification Date | 05/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821886318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |