Organization
BREAKING THE CYCLE LLC
Active
Other names
Icarus Behavioral Health Idaho
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE SGUARDO (VP OF PROGRAM INTEGRITY)
(480) 299-2385
Entity
Organization
Contact information
Practice address
11101 W CHAPIN AVE, BOISE, ID 83709-6612
(480) 299-2385
Mailing address
24871 S ELLSWORTH RD, QUEEN CREEK, AZ 85142-1574
(480) 299-2385
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
12/20/2024
Last updated
02/07/2025
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