| NPI | 1073120101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE VINSONHALER Co Owner 208-488-8050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |