Provider Demographics
NPI:1346569647
Name:VALLEYVIEW RECOVERY
Entity Type:Organization
Organization Name:VALLEYVIEW RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EX. DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:M
Authorized Official - Last Name:MORTON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, CADC
Authorized Official - Phone:208-983-0898
Mailing Address - Street 1:109 S MILL ST
Mailing Address - Street 2:
Mailing Address - City:GRANGEVILLE
Mailing Address - State:ID
Mailing Address - Zip Code:83530-2246
Mailing Address - Country:US
Mailing Address - Phone:208-983-0898
Mailing Address - Fax:208-983-0897
Practice Address - Street 1:109 S. MILL ST.
Practice Address - Street 2:
Practice Address - City:GRANGEVILLE
Practice Address - State:ID
Practice Address - Zip Code:83530
Practice Address - Country:US
Practice Address - Phone:208-983-0898
Practice Address - Fax:208-983-0897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-26
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
ID5900251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management