| NPI | 1396180576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK JAMESON Executive Director 208-720-2877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 251S00000X | |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2022-09-27 |