| NPI | 1487462677 |
|---|---|
| Doing Business As | ICARUS BEHAVIORAL HEALTH IDAHO |
| Entity Type | Organization |
| Authorized Contact | BROOKE SGUARDO VP Of Program Integrity 480-299-2385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-12-20 |
| Last Update Date | 2024-12-20 |