| Brick House Recovery | |
|
1020 Land Bank St Idaho Falls ID 83402-1809 | |
| (801) 350-1716 | |
| Not Available |
| Full Name | Brick House Recovery |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 1020 Land Bank St, Idaho Falls, Idaho |
| Authorized Official Name and Position | Jason D Coombs (CEO) |
| Authorized Official Contact | 8013501716 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brick House Recovery 3663 N Lakeharbor Ln Boise ID 83703-6913 Ph: (801) 350-1716 | Brick House Recovery 1020 Land Bank St Idaho Falls ID 83402-1809 Ph: (801) 350-1716 |
| NPI Number | 1962050989 |
|---|---|
| Provider Enumeration Date | 09/03/2019 |
| Last Update Date | 12/30/2019 |
| Certification Date | 12/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962050989 | NPI | - | NPPES |
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