| NPI | 1326488388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS HARDZIEJ Director/Owner 208-880-1199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2013-07-04 |
| Last Update Date | 2013-07-04 |