RECOVERY REFUGE COUNSELING CENTER LLC NPI 1801450259

NPI Information

RECOVERY REFUGE COUNSELING CENTER, LLC is an addiction medicine family medicine in Boise, ID. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. RECOVERY REFUGE COUNSELING CENTER, LLC NPI is 1801450259. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8100 W EMERALD ST STE 180
BOISE, ID
ZIP 83704-069
Phone: (208) 859-6262
Fax: (208) 567-2143

The provider's authorized official is Janene E Rayne .
The authorized official title is Owner/administrator and has the following contact phone number (208) 859-6262.

The CLIA number assigned to this NPI record is 13D2167739 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/30/2019 and was last updated on 4/30/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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