Organization · Type 2 NPI

Brick House Recovery

Substance Use Disorder Rehabilitation Clinic/Center · Idaho Falls, ID

NPI number 1962050989 Active

Practice location

1020 Land Bank St
Idaho Falls, ID 83402-1809

Mailing address

3663 N Lakeharbor Ln
Boise, ID 83703-6913

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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About NPI 1962050989

Brick House Recovery's National Provider Identifier is 1962050989, issued on Sep 3, 2019. 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 30, 2019.