Organization
TWIN FALLS COUNTY
Active
Parent organization
TWIN FALLS COUNTY
Other names
Treatment and Recovery Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
TWIN FALLS COUNTY
Authorized official
MRS. JACI EREN URIE LCSW (EXECUTIVE DIRECTOR)
(208) 736-5048
Entity
Organization
Contact information
Practice address
630 ADDISON AVE W STE 1000, TWIN FALLS, ID 83301-5853
(208) 736-5048
(208) 735-2126
Mailing address
PO BOX 126, TWIN FALLS, ID 83303-0126
(208) 736-5048
(208) 735-2126
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
ID
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558606962
—
ID
Enumeration date
12/11/2012
Last updated
12/16/2020
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