Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
49 ALPHA A
Active Organization49 ALPHA A is a Children's Substance Abuse Rehabilitation Facility organization located in JEROME, Idaho. NPI 1205623527 is currently active in the NPPES registry. Verify at CMS.
Children's Substance Abuse Rehabilitation Facility · JEROME, ID
Registration Details
- NPI Number
- 1205623527
- Provider Type
- Organization
- NPI Issued
- Apr 21, 2025 (1.3255063784436 yrs)
- Last Updated
- Sep 9, 2025
Practice Information
- Address
-
1035 N LINCOLN AVEJEROME, ID, 833381816Browse ID providers · Browse ZIP 83338
- Phone
- 2083080158
- Primary Specialty
-
Children's Substance Abuse Rehabilitation Facility
3245S0500X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Children's Substance Abuse Rehabilitation Facility
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.