Organization
ROAD TO RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH LOVELL MS, CCS, CADC (EXECUTIVE DIRECTOR)
(208) 233-2492
Entity
Organization
Contact information
Practice address
343 E BONNEVILLE ST, POCATELLO, ID 83201-6434
(208) 233-9135
(208) 233-9136
Mailing address
343 E BONNEVILLE ST, POCATELLO, ID 83201-6434
(208) 233-9135
(208) 233-9136
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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