Caldwell Recovery Center, LLC

NPI #1467004580 in Caldwell, Idaho

Provider Information

NPI Number
1467004580
Entity Type
Organization
Organization Name
Caldwell Recovery Center, LLC
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Jul 9, 2019
Last Updated
Jul 9, 2019

Practice Location

Address
2719 S KIMBALL AVE
State
Idaho
ZIP Code
83605-5623
Phone
(208) 614-8611

Authorized Official

Name
GAIL VILLARREAL, BS, ICADC
Title
PRESIDENT
Phone
(208) 614-8611

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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