Provider Demographics
NPI:1336998921
Name:JUST FOR TODAY SOBER LIVING INC
Entity type:Organization
Organization Name:JUST FOR TODAY SOBER LIVING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LUCAS
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:DONALDSON
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:208-861-5609
Mailing Address - Street 1:8796 W TILLAMOOK DR
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83709-5876
Mailing Address - Country:US
Mailing Address - Phone:208-861-5609
Mailing Address - Fax:
Practice Address - Street 1:8796 W TILLAMOOK DR
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83709-5876
Practice Address - Country:US
Practice Address - Phone:208-861-5609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-15
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility