NPI 1073267654

North Idaho Detox

Organisation Substance Abuse Rehabilitation Facility Post Falls, ID

Practice location

Address: 1654 E Velora Dr, Post Falls, ID 83854-4428
Phone: (208) 918-3835
Mailing address: 11933 N Emerald Dr, Hayden, ID 83835-9424

Authorised official

Name: Jacob Siegberg
Title: Ceo
Phone: (208) 918-3835

Registered specialties (5)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

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Addiction (Substance Use Disorder) Counselor

Behavioral Health & Social Service Providers Taxonomy 101YA0400X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Substance Use Disorder Rehabilitation Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QR0405X

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Substance Use Disorder Rehabilitation Hospital Unit

Hospital Units Taxonomy 276400000X

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Registry record

NPI: 1073267654
Entity type: Organization
NPI issued: 11 Feb 2022
Record last updated: 11 Feb 2022

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.