| NPI | 1235549791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE PEARL Executive Director 208-939-3865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID 37406) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-12-16 |