BLUEFIRE WILDERNESS THERAPY – NPI #1376935494
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

BLUEFIRE WILDERNESS THERAPY is a residential treatment facility located in GOODING, ID. NPPES has assigned the NPI number 1376935494 to BLUEFIRE WILDERNESS THERAPY on February 26, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BLUEFIRE WILDERNESS THERAPY” is a dba name, the actual legal business name for this organization is APEX ADVENTURE THERAPY. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 10 years ago on Aug 09, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUEFIRE WILDERNESS THERAPY below.

NPI Profile for
APEX ADVENTURE THERAPY

NPI Number
1376935494
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
APEX ADVENTURE THERAPY
Doing Business As (dba): BLUEFIRE WILDERNESS THERAPY
Primary location
1832 E 1750 S
GOODING, ID 83330-5177
Phone: (208) 934-4444 Fax: (208) 934-5171
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KATHY REX
EXECUTIVE DIRECTOR
Phone: (208) 308-3163
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)
ID 38122

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.