HIGHER GROUND RETREAT, LLC
Residential Treatment Facilities at Deer Flat Rd, Caldwell, ID

License number
Idaho LCSW 1159
Category
Residential Treatment Facilities
Type
Substance Abuse Rehabilitation Facility
Owner
Name: MS. BEATRICE SUSAN CARROLL LCSW, LMFT
Title: EXECUTIVE DIRECTOR
Phone: (208) 440-7009
Address
Address
17626 Deer Flat Rd, Caldwell, ID 83607
National Provider ID: 1083977656
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HIGHER GROUND RETREAT, LLC

17626 Deer Flt Rd, Caldwell, ID 83607

Industry:
Nonclassifiable Establishments
Registration:
Feb 29, 2012
State ID:
W111544
Business type:
LIMITED LIABILITY COMPANY
Executive Director, Principal:
Beatrice S. Carroll (Executive Director, Principal)
Agent:
Beatrice S Carroll,1822 E Blue Tick St, Meridian, ID 83642 (Physical)

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