BRICK HOUSE RECOVERY NPI 1770987844

NPI Information

NPI: 1770987844
Provider Name: BRICK HOUSE RECOVERY
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
3663 N LAKEHARBOR LN
BOISE, ID
ZIP 83703
Phone: (801) 350-1716
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BRICK HOUSE RECOVERY is an addiction (substance use disorder) counselor in Boise, ID. BRICK HOUSE RECOVERY NPI is 1770987844. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3663 N LAKEHARBOR LN
BOISE, ID
ZIP 83703
Phone: (801) 350-1716
Fax: (208) 286-4292

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

The enumeration date for this NPI number is 10/17/2014 and was last updated on 12/30/2019.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	101Y00000X	Counselor		IDAHO	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	IDAHO	Yes
3	101YM0800X	Counselor	Mental Health	IDAHO	No
4	251S00000X	Community/Behavioral Health		IDAHO	No

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: 4/28/2024

NPI Synchronization or Removal

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