| NPI | 1164137105 |
|---|---|
| Former Legal Business Name | RECOVERY ROCKS LLC |
| Entity Type | Organization |
| Authorized Contact | GERLYN DANETTE WALKER Owner 208-539-0838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2023-05-09 |