Jx2 LLC

NPI #1205583127 in Boise, Idaho

Provider Information

NPI Number: 1205583127
Entity Type: Organization
Organization Name: Jx2 LLC
Primary Specialty: Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date: Mar 10, 2022
Last Updated: Mar 31, 2022

Practice Location

Address: 8950 W EMERALD ST STE 178
City: Boise
State: Idaho
ZIP Code: 83704-8296
Phone: (208) 376-7083

Authorized Official

Name: HEIDI WILLIAMS
Title: BILLING/CREDENTIALING
Phone: (208) 376-7083

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X	Primary

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