| NPI | 1154709087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA GILBERT CEO 208-810-2704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2024-07-22 |