TRIVIUM LIFE SERVICES MOUNTAIN WEST, LLC

BOISE, ID
NPI1194962829
Doing Business AsRECOVERY 4 LIFE
Doing Business AsTRIVIUM LIFE SERVICES
Former Legal Business NameJX2
Entity TypeOrganization
Authorized ContactMICHELLE FRANCESCA SCHALLER
Senior Director Of Bh & Rcm
712-355-8480
Organization Subpart ?No
Primary Taxonomy261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2009-01-16
Last Update Date2025-10-09
Business Address
TRIVIUM LIFE SERVICES MOUNTAIN WEST, LLC
12553 W EXPLORER DR STE 190
BOISE, ID 83713-1612
Phone number: 208-376-7083
Mailing Address
TRIVIUM LIFE SERVICES MOUNTAIN WEST, LLC
12553 W EXPLORER DR STE 190
BOISE, ID 83713-1612
Phone number: 208-376-7083