NPI | 1710509815 |
---|---|
Doing Business As | RECOVERY4LIFE |
Entity Type | Organization |
Authorized Contact | HEIDI WILLIAMS Billing/Credentialing 208-376-7083 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management |
Enumeration Date | 2020-05-12 |
Last Update Date | 2020-05-12 |