Organization
FAMILY RECOVERY CENTER FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY D HOLBOOK CADC (EXECUTIVE DRIECTOR)
(208) 535-0175
Entity
Organization
Contact information
Practice address
1420 E 17TH ST, SUITE B, IDAHO FALLS, ID 83404-6283
(208) 535-0175
(208) 542-0125
Mailing address
1420 E 17TH ST, SUITE B, IDAHO FALLS, ID 83404-6283
(208) 535-0175
(208) 542-0125
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
ID
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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