| 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 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |