| 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 |