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Adolescent & Child Development Center, LLC

Developmental Disabilities Clinic/Center in Pocatello, ID · enumerated 2008 · authorized official Vance Walker, Owner/Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063671469

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Adolescent & Child Development Center, LLC
Practice address 151 N 3rd Ave, Suite 110, Pocatello, ID, 83201
Fax (208) 233-4639
Enumeration date Jun 2, 2008
Last updated in NPPES Apr 2, 2009

Taxonomy & classification

261QD1600X Developmental Disabilities Clinic/Center Ambulatory Health Care Facilities · License 261QD1600X (ID) Primary
261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities · License 261QM0801X (ID) Secondary
261QM0850X Adult Mental Health Clinic/Center Ambulatory Health Care Facilities · License 261QM0850X (ID) Secondary

Authorized official

Name Vance Walker
Title Owner/Executive Director

Other identifiers

Identifier Type State Issuer
808259000 Medicaid ID -
808257100 Medicaid ID -
808028200 Medicaid ID -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Adolescent & Child Development Center, LLC?
Adolescent & Child Development Center, LLC is registered in NPPES as a Developmental Disabilities Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-04-02.