Organization · Type 2 NPI
Socal Empowered, LLC
Mental Illness Community Based Residential Treatment Facility · Idaho Falls, ID
NPI number
1528830619
Active
Practice location
5796 Wildrose Ave
Idaho Falls, ID 83401-6597
Fax (888) 846-8569
Mailing address
22602 Costa Bella Dr
Lake Forest, CA 92630-4218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
About NPI 1528830619
Socal Empowered, LLC's National Provider Identifier is 1528830619, issued on Oct 23, 2023. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Idaho Falls, ID. The record was last updated on Jun 11, 2024.