Whalio Doctors

NPI 1861159238

Freedom Recovery LLC

Organisation Substance Abuse Rehabilitation Facility Pocatello, ID

Practice location

Address
1800 Garrett Way STE 47, Pocatello, ID 83201-5132
Phone
(208) 252-6464
Fax
(208) 904-0792

Authorised official

Name
Jonathon Eisenhower Hunt
Title
Owner
Phone
(208) 241-9790

Registered specialties (6)

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X
Addiction (Substance Use Disorder) Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TA0400X
Addiction Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0802X
Substance Use Disorder Rehabilitation Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QR0405X
Substance Use Disorder Rehabilitation Hospital Unit
Hospital Units Taxonomy 276400000X

Registry record

NPI
1861159238
Entity type
Organization
NPI issued
20 Nov 2021
Record last updated
2 Mar 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.