Higher Ground Retreat, Llc

NPI 1083977656 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1083977656
Enumeration Date 06/19/2012
Last Updated 06/19/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name BEATRICE SUSAN BEATRICE
Position EXECUTIVE DIRECTOR
Phone (855) 497-4763
Fax
Practice Location
17626 DEER FLAT RD
CALDWELL ID, 83607-9779, US
Phone (855) 497-4763
Fax
Business Location
17626 DEER FLAT RD
CALDWELL ID, 83607-9779, US
Phone (855) 497-4763
Fax
Toxanomy
Taxonomy Code 324500000X
License State Idaho
License Number LCSW 1159
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According to our database, Higher Ground Retreat, Llc NPI is 1083977656, taxonomy code is 324500000X and license number is LCSW 1159, license state is located at Idaho. Higher Ground Retreat, Llc physically located at 17626 Deer Flat Rd, Caldwell ID, 83607-9779. NPI Number 1033115704 has the healthcare provider type.

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1083977656 NPI number is provided on an as is basis without warranty of any kind. 1083977656 is maintained by the National Plan & Provider Enumeration System. The contents of Higher Ground Retreat, Llc are for informational purposes only.