| NPI | 1043076938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | USIFO EDWARD ASIKHIA Clinical Director 208-589-4026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-02-27 |