| Kimi Recovery Center Llc | |
|
219 Gooding St N Twin Falls ID 83301 | |
| (208) 293-8846 | |
| Not Available |
| Full Name | Kimi Recovery Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 219 Gooding St N, Twin Falls, Idaho |
| Authorized Official Name and Position | Kelly Dawn Smothers (OWNER) |
| Authorized Official Contact | 2082938846 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimi Recovery Center Llc 219 Gooding St N Twin Falls ID 83301-6178 Ph: (208) 293-8846 | Kimi Recovery Center Llc 219 Gooding St N Twin Falls ID 83301 Ph: (208) 293-8846 |
| NPI Number | 1396254066 |
|---|---|
| Provider Enumeration Date | 09/26/2017 |
| Last Update Date | 02/15/2024 |
| Certification Date | 02/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396254066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC-6156 (Idaho) | Primary |
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