BOW CREEK RECOVERY CENTER NPI 1962667782

NPI Information

BOW CREEK RECOVERY CENTER is a substance abuse rehabilitation facility in Caldwell, ID. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. BOW CREEK RECOVERY CENTER NPI is 1962667782. The provider is registered as an organization entity type.

The provider's business location address is:

24093 BOW CREEK LN
CALDWELL, ID
ZIP 83607-529
Phone: (208) 459-1883
Fax: (208) 455-1392

The provider's authorized official is Linda Susan Dengler .
The authorized official title is President/owner and has the following contact phone number (510) 520-2466.

The enumeration date for this NPI number is 7/21/2008 and was last updated on 7/21/2008.

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:

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