| NPI | 1033573993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHARLES FLEMING Clinical Director 208-776-5125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |