| NPI | 1255852638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISSY BLANDFORD Owner/Executive Director 208-287-3285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2022-07-21 |