Organization
ZELUS RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON ZELUS LCSW (DIRECTOR)
(208) 957-6514
Entity
Organization
Contact information
Practice address
2020 S EAGLE RD, MERIDIAN, ID 83642-6707
(208) 957-6514
Mailing address
2020 S EAGLE RD, MERIDIAN, ID 83642-6707
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YA0400X
COUNSELOR/ADDICTION SUBSTANCE USE DISORDER
—
01
—
101YM0800X
MENTAL HEALTH
—
Enumeration date
08/17/2016
Last updated
02/09/2024
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