NPI | 1003145533 |
---|---|
Doing Business As | AMBITIONS |
Entity Type | Organization |
Authorized Contact | SHANE HAGEL President 208-930-1740 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YP2500X Counselor Professional |
1041C0700X Social Worker Clinical | |
2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
251B00000X Case Management | |
251S00000X Community/Behavioral Health | |
261QM0850X Clinic/Center Adult Mental Health | |
320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
Enumeration Date | 2009-12-11 |
Last Update Date | 2023-10-12 |