| NPI | 1205583127 |
|---|---|
| Doing Business As | TRIVIUM LIFE SERVICES |
| Entity Type | Organization |
| Authorized Contact | HEIDI WILLIAMS Billing/Credentialing 208-376-7083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2022-03-31 |