RECOVERY ROCKS LLC NPI 1164137105

NPI Information

RECOVERY ROCKS LLC is a mental health counselor in Jerome, ID. RECOVERY ROCKS LLC NPI is 1164137105. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Recovery Rocks Llc.

The provider's business location address is:

414 N LINCOLN AVE STE 2
JEROME, ID
ZIP 83338-300
Phone: (208) 536-0536
Fax: (208) 324-5597

The provider's authorized official is Gerlyn Danette Walker .
The authorized official title is Owner and has the following contact phone number (208) 539-0838.

The enumeration date for this NPI number is 1/13/2023 and was last updated on 5/9/2023.

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:

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