| NPI | 1184458960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA HORNER Office Manager 208-816-6078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-08-26 |