| NPI | 1003113465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDEE YOUNG Administrator 208-680-0542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: ID LCSW26332) |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2011-02-22 |