| NPI | 1235503426 |
|---|---|
| Doing Business As | RESTORED PATHS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BAKER CEO 208-620-5200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YP2500X Counselor Professional | |
| 1041C0700X Social Worker Clinical | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207RA0401X Internal Medicine Addiction Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2023-08-24 |