| NPI | 1295198240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY COLLEEN SALISBURY Executive Director 208-424-3189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |