Organization
ADOLPHO ENTERPRISE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK ADOLPHO (CO-OWNER)
(208) 991-4296
Entity
Organization
Contact information
Practice address
3649 N LAKEHARBOR LN, BOISE, ID 83703-6913
(208) 991-4296
Mailing address
3649 N LAKEHARBOR LN, BOISE, ID 83703-6913
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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