institution
Throne Of Grace, Llc.
Substance Use Disorder Rehabilitation Clinic/Center in Pocatello, Idaho
NPI 1063820629

Throne Of Grace, Llc. is a Substance Use Disorder Rehabilitation Clinic/Center based in Idaho Falls, ID and is specialized in Rehabilitation, Substance Use Disorder. Throne Of Grace, Llc. practices in Pocatello, ID. The NPI Number for Throne Of Grace, Llc. is 1063820629 and holds a License No. (Idaho).

The current practice location address for Throne Of Grace, Llc. is 4460 Central Way, Pocatello, ID and can be reached out via phone at 208-522-6155 and via fax at 208-522-6156.

Location: 4460 Central Way, Pocatello, ID, 83402-3321
institution
Provider Profile Details
NPI Number
1063820629
Provider Name
Throne Of Grace, Llc.
Credential
Provider Entity Type
Organization
Address
4460 Central Way, Pocatello, ID, 83402-3321
Phone Number
208-522-6155
Fax Number
208-522-6156
Provider Enumeration Date
07/28/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4460 Central Way
City
State
Zip
83202-5095
Phone Number
208-522-6155
Fax Number
208-522-6156
person
Provider Business Mailing Address Details
Address
4460 Central Way
City
State
Zip
83202-5095
Phone Number
208-522-6155
Fax Number
208-522-6156
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
()
Definition
Definition to come...
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