NPI | 1871259770 |
---|---|
Doing Business As | RECOVERY WAYS IDAHO |
Entity Type | Organization |
Authorized Contact | CHERYL GREEN Billing Supervisor 208-343-2737 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
175T00000X Peer Specialist | |
251B00000X Case Management | |
251S00000X Community/Behavioral Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
323P00000X Psychiatric Residential Treatment Facility | |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2021-11-15 |
Last Update Date | 2025-06-06 |