NPI | 1134532872 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE BAKER Business Owner 208-972-2732 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID LPC-5499) |
Enumeration Date | 2014-06-10 |
Last Update Date | 2014-06-10 |