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Latah Recovery Community Center, Inc.
Peer Specialist in Moscow, Idaho
NPI 1700512860

Latah Recovery Community Center, Inc. is a Peer Specialist based in Moscow, ID. Latah Recovery Community Center, Inc. practices in Moscow, ID. The NPI Number for Latah Recovery Community Center, Inc. is 1700512860 and holds a License No. (Idaho).

The current practice location address for Latah Recovery Community Center, Inc. is 531 S Main, Moscow, ID and can be reached out via phone at 208-883-1045.

Location: 531 S Main, Moscow, ID, 83843
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700512860
Provider Name
Latah Recovery Community Center, Inc.
Credential
Provider Entity Type
Organization
Address
531 S Main, Moscow, ID, 83843
Phone Number
208-883-1045
Fax Number
Provider Enumeration Date
07/29/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
531 S Main
City
Moscow
State
Idaho
Zip
83843
Phone Number
208-883-1045
Fax Number
person
Provider Business Mailing Address Details
Address
531 S Main
City
Moscow
State
Idaho
Zip
83843
Phone Number
208-883-1045
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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