| Peak Recovery Llc | |
|
2423 S Georgia Ave Caldwell ID 83605-4477 | |
| (208) 455-1788 | |
| (208) 455-2044 |
| Full Name | Peak Recovery Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2423 S Georgia Ave, Caldwell, Idaho |
| Authorized Official Name and Position | Michonne Lee Piekmsa (OWNER) |
| Authorized Official Contact | 2084551788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peak Recovery Llc 2423 S Georgia Ave Caldwell ID 83605-4477 Ph: (208) 455-1788 | Peak Recovery Llc 2423 S Georgia Ave Caldwell ID 83605-4477 Ph: (208) 455-1788 |
| NPI Number | 1811338148 |
|---|---|
| Provider Enumeration Date | 07/15/2013 |
| Last Update Date | 04/14/2021 |
| Certification Date | 04/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811338148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 151 (Idaho) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | LPC-5173 (Idaho) | Secondary |
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