| Road To Recovery | |
|
343 E Bonneville St Pocatello ID 83201-6434 | |
| (208) 233-9135 | |
| (208) 233-9136 |
| Full Name | Road To Recovery |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 343 E Bonneville St, Pocatello, Idaho |
| Authorized Official Name and Position | Elizabeth Lovell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2082332492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Road To Recovery 343 E Bonneville St Pocatello ID 83201-6434 Ph: (208) 233-9135 | Road To Recovery 343 E Bonneville St Pocatello ID 83201-6434 Ph: (208) 233-9135 |
| NPI Number | 1457791634 |
|---|---|
| Provider Enumeration Date | 07/02/2013 |
| Last Update Date | 07/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457791634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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