| NPI | 1336688233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW SAPP Executive Director 208-954-5085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: ID 41378) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |