| NPI | 1154426104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J CORBETT Director 208-522-0310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: ID N/A) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2023-08-18 |