NPI | 1275705410 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENT F BALDREE President 208-552-3050 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: ID PSY377) |
Enumeration Date | 2008-03-27 |
Last Update Date | 2008-03-27 |