| NPI | 1316272248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY J DUNKLEY Clinical Director/Owner 208-921-4129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2025-05-07 |