| NPI | 1245665470 |
|---|---|
| Doing Business As | M.K. PLACE |
| Entity Type | Organization |
| Authorized Contact | CINDY K HANSEN Clinical Director 208-234-4722 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2013-09-06 |