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Organization

APEX ADVENTURE THERAPY

Active
Other names
BlueFire Wilderness Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KATHY REX (EXECUTIVE DIRECTOR)
(208) 308-3163
Entity
Organization

Contact information

Practice address
1832 E 1750 S, GOODING, ID 83330-5177
(208) 934-4444
(208) 934-5171
Mailing address
1832 E 1750 S, GOODING, ID 83330-5177
(208) 934-4444
(208) 934-5171

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
38122
ID

Other

Enumeration date
02/26/2015
Last updated
08/09/2016
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