NPI 1023735321

Rooted Recovery and Wellness, LLC

Organisation Community/Behavioral Health Agency Boise, ID

Practice location

Address: 5418 N Eagle Rd STE 160, Boise, ID 83713-0100
Phone: (541) 844-3577
Mailing address: 85835 Allbritain Ln, Eugene, OR 97405-8403

Authorised official

Name: Katherine Lynn Fraser
Title: Executive Director
Phone: (888) 455-1642

Registered specialties (5)

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

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Counselor

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

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Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133V00000X

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Multi-Specialty Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM1300X

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Registry record

NPI: 1023735321
Entity type: Organization
NPI issued: 26 Oct 2022
Record last updated: 3 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.