| NPI | 1376935494 |
|---|---|
| Doing Business As | BLUEFIRE WILDERNESS THERAPY |
| Entity Type | Organization |
| Authorized Contact | KATHY REX Executive Director 208-308-3163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: ID 38122) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2016-08-09 |