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Organization
APEX ADVENTURE THERAPY
Active
Organization
APEX ADVENTURE THERAPY
Active
Other names
BlueFire Wilderness Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY REX (EXECUTIVE DIRECTOR)
(208) 308-3163
Entity
Organization
Contact information
Practice address
1832 E 1750 S, GOODING, ID 83330-5177
(208) 934-4444
(208) 934-5171
Mailing address
1832 E 1750 S, GOODING, ID 83330-5177
(208) 934-4444
(208) 934-5171
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
38122
ID
Other
Enumeration date
02/26/2015
Last updated
08/09/2016
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