| NPI | 1033165550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON HOUSTON CEO 208-734-3312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 1041C0700X Social Worker, Clinical | |
| 122300000X Dentist | |
| 124Q00000X Dental Hygienist | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2021-03-17 |