NPI | 1871150185 |
---|---|
Doing Business As | TREASURE VALLEY RECOVERY |
Entity Type | Organization |
Authorized Contact | PAUL ECHO HAWK Owner 208-705-9503 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2019-05-22 |
Last Update Date | 2019-05-22 |