| NPI | 1326757303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELINE STEELE QUATES Owner 208-398-0229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2025-09-29 |