EMBRACE LIFE RECOVERY CENTER NPI 1780218404

NPI Information

NPI: 1780218404
Provider Name: EMBRACE LIFE RECOVERY CENTER
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
154 1ST AVE W
JEROME, ID
ZIP 83338
Phone: (208) 421-8358
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EMBRACE LIFE RECOVERY CENTER is an addiction (substance use disorder) counselor in Jerome, ID. EMBRACE LIFE RECOVERY CENTER NPI is 1780218404. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

154 1ST AVE W
JEROME, ID
ZIP 83338-326
Phone: (208) 421-8358

The provider's authorized official is Stephanie Ford .
The authorized official title is President and has the following contact phone number (208) 421-8358.

The enumeration date for this NPI number is 3/3/2020 and was last updated on 3/3/2020.

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	Primary
1	171100000X	Acupuncturist		No
2	225700000X	Massage Therapist		No
3	171M00000X	Case Manager/Care Coordinator		No
4	172A00000X	Driver		No
5	106H00000X	Marriage & Family Therapist		No
6	101YA0400X	Counselor	Addiction (Substance Use Disorder)	Yes

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: 5/5/2024

NPI Synchronization or Removal

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