| NPI | 1790307890 |
|---|---|
| Doing Business As | RECOVERY4LIFE |
| Entity Type | Organization |
| Authorized Contact | HEIDI WILLIAMS Billing/Credentialing 208-376-7083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |