| NPI | 1194845768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE E. SITTIG Owner 208-453-1439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2012-07-19 |