| Caldwell Recovery Center, Llc | |
|
2719 S Kimball Ave Caldwell ID 83605-5623 | |
| (208) 614-8611 | |
| Not Available |
| Full Name | Caldwell Recovery Center, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2719 S Kimball Ave, Caldwell, Idaho |
| Authorized Official Name and Position | Gail Villarreal (PRESIDENT) |
| Authorized Official Contact | 2086148611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caldwell Recovery Center, Llc 2719 S Kimball Ave Caldwell ID 83605-5623 Ph: () - | Caldwell Recovery Center, Llc 2719 S Kimball Ave Caldwell ID 83605-5623 Ph: (208) 614-8611 |
| NPI Number | 1467004580 |
|---|---|
| Provider Enumeration Date | 07/09/2019 |
| Last Update Date | 07/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467004580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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