| NPI | 1194169359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PINEGAR Executive Director 208-522-6155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-04-18 |