Socal Empowered, LLC

NPI #1528830619 in Idaho Falls, Idaho

Provider Information

NPI Number: 1528830619
Entity Type: Organization
Organization Name: Socal Empowered, LLC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Oct 23, 2023
Last Updated: Jun 11, 2024

Practice Location

Address: 5796 WILDROSE AVE
City: Idaho Falls
State: Idaho
ZIP Code: 83401-6597
Phone: (949) 701-3551

Authorized Official

Name: JAMES PERRAIE
Title: MANAGING MEMBER
Phone: (949) 701-3551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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