| NPI | 1164179438 |
|---|---|
| Doing Business As | CANVI BEHAVIORAL HEALTH CM/PS |
| Entity Type | Organization |
| Authorized Contact | KRISTA BATTS Contracting Manager 208-380-4978 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2022-03-07 |