NPI | 1023745247 |
---|---|
Doing Business As | 406 RECOVERY |
Entity Type | Organization |
Authorized Contact | ROBERT SISE CEO 208-810-2319 |
Organization Subpart ? | No |
Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
Enumeration Date | 2022-08-07 |
Last Update Date | 2023-05-16 |