NPI | 1336216621 |
---|---|
Doing Business As | VISTA OUTREACH - MENTAL HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | GAIL MILLS Corporate Compliance Manager 208-245-4576 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2020-08-22 |