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 | 323P00000X Psychiatric Residential Treatment Facility |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2024-12-20 |
Last Update Date | 2025-02-07 |