NPI | 1194962829 |
---|---|
Doing Business As | RECOVERY 4 LIFE |
Entity Type | Organization |
Authorized Contact | AMY JEPPESEN Executive Director 208-319-0700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Enumeration Date | 2009-01-16 |
Last Update Date | 2021-11-19 |