BRICK HOUSE RECOVERY NPI 1477276194

NPI Information

  • NPI: 1477276194
  • Provider Name: BRICK HOUSE RECOVERY
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 3918 N SCHREIBER WAY STE B
    COEUR D ALENE, ID
    ZIP 83815
  • Phone: (801) 350-1716

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NPI Details

BRICK HOUSE RECOVERY is a rehabilitation and substance use disorder clinic center in Coeur D Alene, ID. BRICK HOUSE RECOVERY NPI is 1477276194. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3918 N SCHREIBER WAY STE B
COEUR D ALENE, ID
ZIP 83815-395
Phone: (801) 350-1716

The provider's authorized official is Jason D Coombs .
The authorized official title is Ceo/founder and has the following contact phone number (801) 350-1716.

The enumeration date for this NPI number is 9/20/2022 and was last updated on 9/20/2022.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2251B00000XCase ManagementNo
3261QM0850XClinic/CenterAdult Mental HealthNo
4261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11770987844OTHERIDAHONPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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