| NPI | 1386435402 |
|---|---|
| Other Name | SOUTHWEST IDAHO RECOVERY COMMUNITY CENTER |
| Entity Type | Organization |
| Authorized Contact | MARTHA HOOPER Director 208-741-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2025-05-16 |
| Last Update Date | 2025-05-16 |