Organization · Type 2 NPI
Throne of Grace, Llc.
Substance Use Disorder Rehabilitation Clinic/Center · Idaho Falls, ID
NPI number
1104173467
Active
Practice location
1165 S Utah Ave
Idaho Falls, ID 83402-3321
Fax (208) 522-6156
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
2 other providers at this address
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- Tueller CounselingSubstance Use Disorder Rehabilitation Clinic/Center Idaho Falls, ID NPI 1992132427
About NPI 1104173467
Throne of Grace, Llc.'s National Provider Identifier is 1104173467, issued on Aug 6, 2012. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Idaho Falls, ID. The record was last updated on Dec 26, 2012.