| NPI | 1225884216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY HAYES Executive Director 208-720-2049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |