OrganizationActive
Socal Empowered, LLC
NPI 1528830619 · Mental Illness Community Based Residential Treatment Facility · Idaho Falls, ID
Provider details
- NPI number
- 1528830619
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- James Perraie, Managing Member(949) 701-3551
Specialties & taxonomies
Residential Treatment Facilities
Practice location
5796 Wildrose Ave
Idaho Falls, ID 83401-6597
Phone: (949) 701-3551
Fax: (888) 846-8569
Approximate (ZIP-level) locationGet directions
Mailing address
22602 Costa Bella Dr
Lake Forest, CA 92630-4218
Registry dates
- Enumerated
- 2023-10-23
- Last updated
- 2024-06-11
- Certified
- 2024-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.