NPI 1083150296

Brick House Recovery

Organisation Substance Abuse Rehabilitation Facility Meridian, ID

Practice location

Address: 1125 E Pine Ave, Meridian, ID 83642-5955
Phone: (208) 286-4274

Authorised official

Name: Jason Douglas Coombs
Title: Executive Director/Owner
Phone: (801) 350-1716

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Idaho →

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Idaho →

Registry record

NPI: 1083150296
Entity type: Organization
NPI issued: 11 Jan 2017
Record last updated: 11 Jan 2017

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.