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 |