National Provider Identifier Database

PEAK RECOVERY LLC
Addiction (Substance Use Disorder)


Contact Information

PEAK RECOVERY LLC
2423 S GEORGIA AVE
CALDWELL, ID83605-4477
Phone: 208-455-1788
Fax: 208-455-2044
Website:
Specialty Taxonomy Code
* Addiction (Substance Use Disorder) 101YA0400X
Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for PEAK RECOVERY LLC

NPI Number 1811338148
Legal business name
LBN
PEAK RECOVERY LLC
Authorized official MICHONNE PIEKMSA - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/15/2013
Last updated 04/14/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: 151
  • ID License #: LPC-5173

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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