| NPI | 1033092465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMI ECHI-ABOLI Billing Director 208-360-1038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-07-31 |
| Last Update Date | 2025-07-31 |