| NPI | 1184995367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA SWOPE CEO 208-375-0752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: ID LMSW28583) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-01-20 |