Organization
NORTH IDAHO DETOX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB SIEGBERG LPN (CEO)
(208) 918-3835
Entity
Organization
Contact information
Practice address
1654 E VELORA DR, POST FALLS, ID 83854-4428
(208) 918-3835
Mailing address
11933 N EMERALD DR, HAYDEN, ID 83835-9424
(208) 918-3835
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251B00000X
Case Management Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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