Organization · Type 2 NPI

Idaho Recovery Center, Llc.

Mental Health Counselor · Idaho Falls, ID

NPI number 1366099293 Active

Practice location

771 South Woodruff Avenue
Idaho Falls, ID 83401

Call (208) 534-8303 Map

Mailing address

3270 E 17th St # 261
Ammon, ID 83406-6758

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1366099293

Idaho Recovery Center, Llc.'s National Provider Identifier is 1366099293, issued on Aug 26, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Idaho Falls, ID. The record was last updated on Aug 26, 2019.