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Organization
BRIARWOOD SAFE HOUSE LLC
Active
Organization
BRIARWOOD SAFE HOUSE LLC
Active
Other names
Briarwood Safe House
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN KILLION (MEMBER)
(208) 573-6999
Entity
Organization
Contact information
Practice address
3685 W N YELLOWSTONE HWY, REXBURG, ID 83440
(208) 573-6999
Mailing address
3685 W N YELLOWSTONE HWY, REXBURG, ID 83440
(208) 573-6999
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
NULL
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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