| 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 |