| NPI | 1164639290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA L NAUMAN Clinical Director 208-234-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |