Family Recovery Center Foundation
Counselor, Addiction (Substance Use Disorder) in Idaho Falls, ID. Organization (NPI-2).
NPI number1932257524
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1932257524
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Recovery Center Foundation
- Organization subpart
- No
- Enumeration date
- Jan 8, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | ID | Yes |
Practice location
1420 E 17th StSuite B
Idaho Falls, ID 83404-6283
Phone 208-535-0175 · Fax 208-542-0125
Mailing address
1420 E 17th StSuite B
Idaho Falls, ID 83404-6283
Phone 208-535-0175 · Fax 208-542-0125
Authorized official
Jeffrey D Holbook
Executive Driector
2085350175
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