Organization
ALTRUISTIC RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICHOLE RAE LOW CADC I (MEMBER)
(208) 550-7920
Entity
Organization
Contact information
Practice address
1052 SW 4TH AVE STE 2, ONTARIO, OR 97914-2100
(208) 550-7920
Mailing address
PO BOX 658, ONTARIO, OR 97914-0658
(208) 550-7920
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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