| NPI | 1336698927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALID ABD HUSSEIN AMERI Owner 208-283-6390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: ID LCSW-24969) |
| Enumeration Date | 2016-09-24 |
| Last Update Date | 2016-09-24 |