| NPI | 1407224744 |
|---|---|
| Doing Business As | ADDICTION & TRAUMA RECOVERY SERVICES |
| Entity Type | Organization |
| Authorized Contact | SHEILA KELLOG Office Manager 208-881-0518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: ID LCSW-34822) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2021-02-08 |