# APEX ADVENTURE THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BlueFire Wilderness Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376935494
- **Authorized official:** MS. KATHY REX (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (208) 308-3163

## Contact information

- **Practice address:** 1832 E 1750 S, GOODING, ID 83330-5177
- **Practice address phone:** (208) 934-4444
- **Practice address fax:** (208) 934-5171
- **Mailing address:** 1832 E 1750 S, GOODING, ID 83330-5177
- **Mailing address phone:** (208) 934-4444
- **Mailing address fax:** (208) 934-5171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 38122 | ID | Yes |

## Other

- **Enumeration date:** 02/26/2015
- **Last updated:** 08/09/2016