| Double H Trauma And Addiction Recovery Centers | |
|
427 N Main St Ste 103 Pocatello ID 83204-3016 | |
| (208) 829-3160 | |
| Not Available |
| Full Name | Double H Trauma And Addiction Recovery Centers |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 427 N Main St Ste 103, Pocatello, Idaho |
| Authorized Official Name and Position | Holly C Ownes (OWNER) |
| Authorized Official Contact | 2088293160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Double H Trauma And Addiction Recovery Centers Po Box 182 Bancroft ID 83217-0182 Ph: (208) 829-3160 | Double H Trauma And Addiction Recovery Centers 427 N Main St Ste 103 Pocatello ID 83204-3016 Ph: (208) 829-3160 |
| NPI Number | 1851135040 |
|---|---|
| Provider Enumeration Date | 06/21/2024 |
| Last Update Date | 10/10/2024 |
| Certification Date | 06/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851135040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Secondary |
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