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Organization

CHAROLAIS CARE VIII, INC

Active
Parent organization
BRP HEALTH MANAGEMENT, INC
Other names
John T. Raukar Institute
Organization subpart
Yes

Provider details

NPI number
Legal business name
BRP HEALTH MANAGEMENT, INC
Authorized official
ANGELA DAWN PASQUALE (OFFICE MANAGER)
(208) 736-1050
Entity
Organization

Contact information

Practice address
650 ADDISON AVE W, SUITE 400, TWIN FALLS, ID 83301-5851
(208) 736-1050
(208) 733-2367
Mailing address
650 ADDISON AVE W, SUITE 400, TWIN FALLS, ID 83301-5851
(208) 736-1050
(208) 733-2367

Taxonomy

Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
38517
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
38517
STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE
ID
Enumeration date
12/08/2014
Last updated
12/08/2014
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