| Stewards Of Recovery Sarf | |
|
490 Emerald Ave Blackfoot ID 83221-3968 | |
| (208) 932-4493 | |
| Not Available |
| Full Name | Stewards Of Recovery Sarf |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 490 Emerald Ave, Blackfoot, Idaho |
| Authorized Official Name and Position | Janna Kulow (DIRECTOR) |
| Authorized Official Contact | 2089324493 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stewards Of Recovery Sarf 685 1st St Idaho Falls ID 83401-4003 Ph: (208) 932-4493 | Stewards Of Recovery Sarf 490 Emerald Ave Blackfoot ID 83221-3968 Ph: (208) 932-4493 |
| NPI Number | 1881391159 |
|---|---|
| Provider Enumeration Date | 02/07/2023 |
| Last Update Date | 02/07/2023 |
| Certification Date | 02/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881391159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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