Organization
SAFE RELEASE HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY JEAN RICKS (OWNER)
(208) 919-7610
Entity
Organization
Contact information
Practice address
8154 W PACKSADDLE DR, BOISE, ID 83709-4964
(208) 919-7610
Mailing address
8154 W PACKSADDLE DR, BOISE, ID 83709-4964
(208) 919-7610
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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