NPI age
17 years
Enumerated 2008-06-02
● Active Type 2 · Organization
Adolescent & Child Development Center, Llc
Adolescent & Child Development Center, Llc is 1 of 40 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Walker
Owner/executive Director
Last NPPES update
2009-04-02
Source: monthly bulk 2026-05
How this organization compares
Across 40 active clinic/center providers in Idaho.
NPI age
17 years
↑ 13 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 22% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-06Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
151 N 3rd Ave, Suite 110
Pocatello, ID 832016331
Mailing address
151 N 3rd Ave, Suite 110
Pocatello, ID 832016331
Authorized official
Vance Ray Walker
Owner/executive Director
📞 2082325622
Specialties
-
Clinic/Center PrimaryAn 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...
-
Clinic/CenterAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
-
Clinic/CenterDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 808259000 | |
| 05 (ID) | 808257100 | |
| 05 (ID) | 808028200 |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.