| NPI | 1265654461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE DOOLEY Office Manager 208-342-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2018-05-23 |