| NPI | 1336840115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD AYUB RAHIMI Co Owner 208-585-8074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2023-03-17 |