| NPI | 1558606962 |
|---|---|
| Doing Business As | TREATMENT AND RECOVERY CLINIC |
| Entity Type | Organization |
| Authorized Contact | JACI EREN URIE Executive Director 208-736-5048 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2020-12-16 |