Organization
CARBONATE RECOVERY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY HAYES LCSW (EXECUTIVE DIRECTOR)
(208) 720-2049
Entity
Organization
Contact information
Practice address
101 EMPTY SADDLE TRL STE 120, HAILEY, ID 83333-8437
(208) 928-7507
Mailing address
101 EMPTY SADDLE TRL STE 120, HAILEY, ID 83333-8437
(208) 928-7507
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
04/29/2024
Last updated
04/16/2025
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