NPI | 1871651422 |
---|---|
Doing Business As | RIVERSIDE RECOVERY |
Entity Type | Organization |
Authorized Contact | DANA K BOYD Business Ofc Manager Owner 208-746-4097 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ID 138) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2020-08-22 |