NPI 1528830619

Socal Empowered, LLC

Organisation Mental Illness Community Based Residential Treatment Facility Idaho Falls, ID

Practice location

Address: 5796 Wildrose Ave, Idaho Falls, ID 83401-6597
Phone: (949) 701-3551
Fax: (888) 846-8569
Mailing address: 22602 Costa Bella Dr, Lake Forest, CA 92630-4218

Authorised official

Name: James Perraie
Title: Managing Member
Phone: (949) 701-3551

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Idaho →

Registry record

NPI: 1528830619
Entity type: Organization
NPI issued: 23 Oct 2023
Record last updated: 11 Jun 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.