| NPI | 1205763406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALMA KASSIM Owner 208-995-5594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 251B00000X Case Management | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2026-05-04 |
| Last Update Date | 2026-05-08 |