ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC
NPI 1063671469
Clinic/Center - Developmental Disabilities in Pocatello, ID

Q: What is Adolescent & Child Development Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Active since June 02, 2008

151 N 3RD AVE, SUITE 110, POCATELLO, ID 83201(208) 232-5622(208) 233-4639 Get Directions Write a Review

NPPES record last updated: April 2, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Adolescent & Child Development Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC (NPI 1063671469) is a healthcare organization registered as a developmental disabilities in Pocatello, Idaho and active in the NPI registry since June 2008. The organization lists Vance Ray Walker, Owner/executive Director, as its authorized official.

NPPES Registry Identity

NPI1063671469

Entity TypeOrganization

Primary Taxonomy261QD1600X

Legal Business NameADOLESCENT & CHILD DEVELOPMENT CENTER, LLC

Location Address151 N 3RD AVE, SUITE 110Pocatello, ID 83201-6331

Mailing Address151 N 3rd Ave, Suite 110Pocatello, ID 83201-6331 · (208) 232-5622 · Fax (208) 233-4639

Phone(208) 232-5622

Fax(208) 233-4639

Organization SubpartNo

Authorized OfficialVance Ray WalkerOwner/executive Director · (208) 232-5622

Enumeration DateJune 2, 2008

Last NPPES UpdateApril 2, 2009

✔ NPI 1063671469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities

Taxonomy Code261QD1600X

License✔ Licensed in ID · 261QD1600X

Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X · License 261QM0801X (ID)

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License 261QM0850X (ID)

151 N 3RD AVE, Pocatello, ID 83201

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Other Identifiers 3

Medicaid808259000ID

Medicaid808028200ID

Medicaid808257100ID

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adolescent & Child Development Center, LLC's NPI number?

The NPI number for Adolescent & Child Development Center, LLC is 1063671469. It was assigned to this organization in the NPPES registry on June 2, 2008.

Where is Adolescent & Child Development Center, LLC located?

Adolescent & Child Development Center, LLC is located at 151 N 3rd Ave Suite 110, Pocatello, ID 83201. The listed phone number is (208) 232-5622.

What is Adolescent & Child Development Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Adolescent & Child Development Center, LLC was last updated on April 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.