Organization
CALDWELL RECOVERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL VILLARREAL BS, ICADC (PRESIDENT)
(208) 614-8611
Entity
Organization
Contact information
Practice address
2719 S KIMBALL AVE, CALDWELL, ID 83605-5623
(208) 614-8611
Mailing address
2719 S KIMBALL AVE, CALDWELL, ID 83605-5623
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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