Organization
ROAD TO RECOVERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JODY OWENS MS LCPC (EXECUTIVE DIRECTOR)
(208) 233-9135
Entity
Organization
Contact information
Practice address
165 W. MAIN, LAVA HOT SPRINGS, ID 83246
(208) 233-9135
(208) 233-9136
Mailing address
PO BOX 6249, POCATELLO, ID 83205-6249
(208) 233-9135
(208) 233-9136
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
000133235
ID
Other
Enumeration date
05/05/2017
Last updated
05/05/2017
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