Organization
BRICK HOUSE RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON D COOMBS MPC (CEO)
(801) 350-1716
Entity
Organization
Contact information
Practice address
1020 LAND BANK ST, IDAHO FALLS, ID 83402-1809
(801) 350-1716
Mailing address
3663 N LAKEHARBOR LN, BOISE, ID 83703-6913
(208) 286-4274
(208) 286-4292
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
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
—
—
Other
Enumeration date
09/20/2019
Last updated
07/30/2025
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