NPI | 1376103713 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER ZEILINSKI Executive Director 208-630-6601 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-06-18 |
Last Update Date | 2020-02-12 |