Caldwell Recovery Center

Organization Active NPI Addiction (Substance Use Disorder) Counselor · Caldwell, ID

NPI 1467004580 · NPPES record last updated Aug 10, 2026

Key facts

NPI
1467004580
Entity type
Organization (NPI type 2)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Legal business name
CALDWELL RECOVERY CENTER
Practice address
2719 S Kimball Ave
Caldwell, ID 83605-5623
Phone
(208) 614-8611
NPI assigned
Jul 9, 2019
Organization subpart
No

Authorized official

Name
Gail Villarreal, BS, ICADC
Title
President
Phone
(208) 614-8611

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2345359Caldwell Recovery Center
2719 S Kimball St, Caldwell, ID 83605
Certificate of waiverJun 8, 2028

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YA0400X Yes

Addresses

Primary practice location

2719 S Kimball Ave
Caldwell, ID 83605-5623

Mailing address

2719 S Kimball Ave
Caldwell, ID 83605-5623

Other providers in Caldwell, ID

All providers in Caldwell, ID · Addiction (Substance Use Disorder) Counselor in Idaho

Sources for this page

Verify at the official NPI Registry.