| NPI | 1144382797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONA JO"ANNE" CHURCH President, Board Of Directors 208-395-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2009-04-23 |