Throne of Grace, LLC.

Organization Active
NPI 1063820629
Substance Use Disorder Rehabilitation Clinic/Center Pocatello, ID

NPI 1063820629 belongs to Throne of Grace, LLC., a substance use disorder rehabilitation clinic/center with a practice location in Pocatello, ID. The NPI was issued on July 28, 2014, and the record was last updated in NPPES on July 28, 2014. The record lists 3 taxonomy codes.

This record hasn't been updated in NPPES since 2014. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405X (ID)
Addiction (Substance Use Disorder) Counselor 101YA0400X Not listed
Mental Health Counselor 101YM0800X Not listed

Practice location

4460 Central Way
Pocatello, ID 83202-5095
Phone: (208) 522-6155

Local context

Active NPPES records list 3 providers with substance use disorder rehabilitation clinic/center as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 34 in Idaho and 7,441 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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