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1992179253
NORTH IDAHO RANCH RECOVERY CLINIC
COEUR D ALENE, ID
NPI
1992179253
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Entity Type
Organization
Authorized Contact
MICHAEL MOORE
Gmp
208-755-5200
Organization Subpart ?
No
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2015-11-23
Last Update Date
2015-11-23
Business Address
NORTH IDAHO RANCH RECOVERY CLINIC
4570 S STACH RD
COEUR D ALENE, ID 83814-7955
Phone number: 208-755-5200
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Mailing Address
NORTH IDAHO RANCH RECOVERY CLINIC
4570 S STACH RD
COEUR D ALENE, ID 83814-7955
Phone number: 208-755-5200
Copy