| NPI | 1275301731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL MICHELLE MILLER Executive Director 208-890-6205 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2023-12-14 |