PEAK RECOVERY LLC; NPI #1811338148

Contact Information

PEAK RECOVERY LLC

2423 S GEORGIA AVE
CALDWELL, ID 83605-4477

Phone: 208-455-1788
Fax: 208-455-2044
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Addiction (Substance Use Disorder)	101YA0400X
Rehabilitation, Substance Use Disorder	261QR0405X

Indicates primary specialty

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NPI Profile & details for PEAK RECOVERY LLC

NPI # 1811338148

LBN Legal business name PEAK RECOVERY LLC

Authorized official MICHONNE PIEKMSA - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/15/2013

Last updated 04/14/2021 - About 5 years ago

Identifiers

ID	License #	151
ID	License #	LPC-5173

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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