NPI 1083977656

Higher Ground Retreat, LLC

Organisation Substance Abuse Rehabilitation Facility Caldwell, ID

Practice location

Address: 17626 Deer Flat Rd, Caldwell, ID 83607-9779
Phone: (855) 497-4763

Authorised official

Name: Beatrice Susan Carroll
Title: Executive Director
Phone: (208) 440-7009

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence LCSW 1159 (ID)

Other Substance Abuse Rehabilitation Facility providers in Idaho →

Registry record

NPI: 1083977656
Entity type: Organization
NPI issued: 19 Jun 2012
Record last updated: 19 Jun 2012

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.