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Organization

BOW CREEK RECOVERY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LINDA SUSAN DENGLER (PRESIDENT/OWNER)
(510) 520-2466
Entity
Organization

Contact information

Practice address
24093 BOW CREEK LN, CALDWELL, ID 83607-7529
(208) 459-1883
(208) 455-1392
Mailing address
24093 BOW CREEK LANE, CALDWELL, ID 83607
(208) 459-1883
(208) 455-1392

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
ID

Other

Enumeration date
07/21/2008
Last updated
07/21/2008
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