NPI | 1205966157 |
---|---|
Entity Type | Organization |
Authorized Contact | GINA WESTCOTT Program Manager 208-334-0969 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2020-08-22 |