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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us