National Provider Identifier Database

BRICK HOUSE RECOVERY
Rehabilitation, Substance Use Disorder


Contact Information

BRICK HOUSE RECOVERY
1020 LAND BANK ST
IDAHO FALLS, ID83402-1809
Phone: 801-350-1716
Fax:
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder 261QR0405X
Addiction (Substance Use Disorder) 101YA0400X
Community/Behavioral Health 251S00000X
Counselor 101Y00000X
Mental Health 101YM0800X

* Indicates primary specialty

NPI Profile & details for BRICK HOUSE RECOVERY

NPI Number 1962050989
Legal business name
LBN
BRICK HOUSE RECOVERY
Authorized official JASON COOMBS - (CEO)
Entity Organization
Organization subpart No
Enumeration date 09/03/2019
Last updated 12/30/2019 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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