NPI | 1093382061 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW W RECKINGER-ROWE Executive Director 208-329-7676 |
Organization Subpart ? | No |
Primary Taxonomy | 282J00000X Religious Nonmedical Health Care Institution |
Enumeration Date | 2021-06-08 |
Last Update Date | 2021-06-08 |