| NPI | 1164723771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH LYNN STEWART President 208-515-1660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 251B00000X Case Management | |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2015-07-16 |