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Organization

BRICK HOUSE RECOVERY

Active
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Organization

BRICK HOUSE RECOVERY

Active
Other names
Brick House Recovery
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
(801) 350-1716

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
251S00000X
Community/Behavioral Health Agency
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
09/03/2019
Last updated
12/30/2019
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