NPI Index

TRIVIUM LIFE SERVICES MOUNTAIN WEST, LLC

Clinic/Center - Rehabilitation, Substance Use Disorder

Active Organization
NPI: 1194962829

Practice Address

12553 W EXPLORER DR STE 190
Boise, ID 83713

Phone: (208) 376-7083

Specialties

Specialty Code Primary License
Clinic/Center - Mental Health (Including Community Mental Health Center) 261QM0801X No -
Community/Behavioral Health 251S00000X No -
Counselor - Addiction (Substance Use Disorder) 101YA0400X No -
Clinic/Center - Rehabilitation, Substance Use Disorder 261QR0405X Yes -

Frequently Asked Questions

NPI 1194962829 is the National Provider Identifier for TRIVIUM LIFE SERVICES MOUNTAIN WEST, LLC, a Clinic/Center - Rehabilitation, Substance Use Disorder provider located in Boise, ID. This NPI was enumerated on January 16, 2009.

Quick Facts

NPI
1194962829
Type
Organization
Enumerated
Jan 16, 2009
Last Updated
Nov 19, 2025

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