NPI: 1194962829
Provider Name: JX2 LLC
Doing Business As: RECOVERY 4 LIFE
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 13D1095117
Address:
1253 N COLE RD
STE 100
BOISE, ID
ZIP 83704
Phone: (208) 319-0700
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JX2 LLC is a rehabilitation and substance use disorder clinic center in Boise, ID. JX2 LLC NPI is 1194962829. The provider is registered as an organization entity type.
The provider Is Doing Business As Recovery 4 Life.
The provider's business location address is:
1253 N COLE RD
STE 100
BOISE, ID
ZIP 83704-647
Phone: (208) 319-0700
Fax: (208) 321-5069
The provider's authorized official is Amy Jeppesen .
The authorized official title is Executive Director and has the following contact phone number (208) 319-0700.
The CLIA number assigned to this NPI record is 13D1095117 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/16/2009 and was last updated on 11/19/2021.