Organization · Type 2 NPI

Joint Powers Entity

Substance Abuse Rehabilitation Facility · Boise, ID

NPI number 1568763076 Active

Practice location

400 N Allumbaugh St
Boise, ID 83704-9209

Call (208) 377-9669 Map

Fax (208) 377-1028

Specialties and licenses

TaxonomyCodeLicense
Psychiatric Residential Treatment Facility 323P00000XNone listed
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1568763076

Joint Powers Entity's National Provider Identifier is 1568763076, issued on Nov 15, 2010. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Boise, ID. The record was last updated on Nov 15, 2010.