| NPI | 1134319155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETE MOLINO President 208-522-4026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2008-02-11 |