| NPI | 1184979569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA STARR President 208-201-0408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2012-07-20 |