NPI 1962667782
Bow Creek Recovery Center
Practice location
- Address
- 24093 Bow Creek Ln, Caldwell, ID 83607-7529
- Phone
- (208) 459-1883
- Fax
- (208) 455-1392
- Mailing address
- 24093 Bow Creek Lane, Caldwell, ID 83607
Authorised official
- Name
- Linda Susan Dengler
- Title
- President/Owner
- Phone
- (510) 520-2466
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1962667782
- Entity type
- Organization
- NPI issued
- 21 Jul 2008
- Record last updated
- 21 Jul 2008
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.