| NPI | 1104626944 |
|---|---|
| Doing Business As | IRON ROOTS RECOVERY & MENTAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JENNIFER MARIE MAYBERRY Owner 208-659-2049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-05-13 |