Organization
TRIPLE R RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MARIE MATTIX CADC (SUBSTANCE USE DISORDER COUNSELOR)
(208) 615-7599
Entity
Organization
Contact information
Practice address
21985 DIXIE RIVER RD # 102, CALDWELL, ID 83607-9027
(208) 615-7599
Mailing address
21985 DIXIE RIVER RD # 102, CALDWELL, ID 83607-9027
(208) 615-7599
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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