| NPI | 1215469440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SATU HANNELE WOODLAND Clinical Director 208-371-8040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: ID CNS-65-A) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |