Daybreak Canyon LLC

NPI #1568758720 in Kellogg, Idaho

Provider Information

NPI Number: 1568758720
Entity Type: Organization
Organization Name: Daybreak Canyon LLC
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Jun 24, 2011
Last Updated: Mar 18, 2016

Practice Location

Address: 1229 COUNTRY CLUB RD.
City: Kellogg
State: Idaho
ZIP Code: 83837
Phone: (208) 784-1433

Authorized Official

Name: MR. LAURENCE D MCARTHUR
Title: MEMBER, CEO
Phone: (208) 312-4117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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