Apex Adventure Therapy

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

38122 Issued in ID

Legal business name

APEX ADVENTURE THERAPY

Practice address

1832 E 1750 S
Gooding, ID 83330-5177

Phone

(208) 934-4444

Fax

(208) 934-5171

NPI assigned

Feb 26, 2015

Organization subpart

No

Name

Ms. Kathy Rex

Title

Executive Director

Phone

(208) 308-3163

• BlueFire Wilderness Therapy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 9, 2016.

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1376935494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 E 1750 S",
            "city": "GOODING",
            "state": "ID",
            "postal_code": "833305177",
            "telephone_number": "208-934-4444",
            "fax_number": "208-934-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 E 1750 S",
            "city": "GOODING",
            "state": "ID",
            "postal_code": "833305177",
            "telephone_number": "208-934-4444",
            "fax_number": "208-934-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX ADVENTURE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "REX",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "208-308-3163",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "ID",
            "license": "38122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BlueFire Wilderness Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• A 1 Autumn Creek in Home Care
• Glen R Albertson Jr., M.D
• Joshua Dan Allen, PT, DPT
• Michael Anthoney
• Celina Arroyo
• Associates in Family Practice Inc
• Associates in Family Practice Inc
• Associates in Family Practice Inc
• Associates in Family Practice Inc

• All providers in Gooding, ID
• Emotionally Disturbed Childrens' Residential Treatment Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.