| NPI | 1154568822 |
|---|---|
| Doing Business As | CENTER FOR INDEPENDENT LIVING |
| Entity Type | Organization |
| Authorized Contact | RENE STEPHENS Administrator 208-734-8973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: ID 5CIL019) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |