| NPI | 1316000441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN K BAIRD President 208-552-9966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID NOT REQUIRED) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |