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Organization
ARISE RECOVERY CENTER
Active
Organization
ARISE RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY POTTER (OWNER)
(208) 421-7316
Entity
Organization
Contact information
Practice address
3303 ASPEN RIDGE CIR, KIMBERLY, ID 83341-5511
(208) 421-7316
Mailing address
3303 ASPEN RIDGE CIR, KIMBERLY, ID 83341-5511
(208) 421-7316
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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