| NPI | 1316188964 |
|---|---|
| Doing Business As | YOUR SUPPORTIVE SERVICES |
| Entity Type | Organization |
| Authorized Contact | JAMES LOUIS HUML Partner/Administrator 208-339-4902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2009-07-03 |