| NPI | 1306885744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ASHLEY Owner 208-736-0995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2010-05-18 |