| NPI | 1083246904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN BOHECKER Chief Executive Officer 208-378-0014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-02-08 |
| Last Update Date | 2022-11-30 |