49 Alpha a

NPI #1205623527 in Jerome, Idaho

Provider Information

NPI Number: 1205623527
Entity Type: Organization
Organization Name: 49 Alpha a
Primary Specialty: Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date: Apr 21, 2025
Last Updated: Sep 9, 2025

Practice Location

Address: 1035 N LINCOLN AVE
City: Jerome
State: Idaho
ZIP Code: 83338-1816
Phone: (208) 308-0158

Authorized Official

Name: GLEN THORNE
Title: PRESIDENT
Phone: (208) 308-0158

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X	Primary

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Individual Providers

Provider Name	Specialty	City
DR. James S Irwin, M.D.	Family Medicine	Jerome	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Charolais Care Viii, INC Part of Brp Health Management, INC	Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children	Twin Falls	AI Deep Dive
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