| NPI | 1225179856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES J JONES Owner 208-322-8112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID LCSW-675) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |