NPI Profile for PEAK RECOVERY LLC in CALDWELL, ID.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Rehabilitation, Substance Use Disorder |
261QR0405X |
| NPI Number | 1811338148 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/15/2013 | |
| Last updated | 04/14/2021 - About 5 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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PEAK RECOVERY LLC
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