BRICK HOUSE RECOVERY NPI 1770987844

NPI Information

  • NPI: 1770987844
  • Provider Name: BRICK HOUSE RECOVERY
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 3663 N LAKEHARBOR LN
    BOISE, ID
    ZIP 83703
  • Phone: (801) 350-1716

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NPI Details

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 Number License State Primary
1101Y00000XCounselorIDAHONo
2101YA0400XCounselorAddiction (Substance Use Disorder)IDAHOYes
3101YM0800XCounselorMental HealthIDAHONo
4251S00000XCommunity/Behavioral HealthIDAHONo

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: 3/30/2025

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