| NPI | 1194962829 |
|---|---|
| Doing Business As | RECOVERY 4 LIFE |
| Doing Business As | TRIVIUM LIFE SERVICES |
| 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 |