NPI | 1407246622 |
---|---|
Doing Business As | MCKENNA HOUSE |
Entity Type | Organization |
Authorized Contact | PATRICK MCKENNA President 208-263-7716 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: ID C194060) |
Enumeration Date | 2015-01-26 |
Last Update Date | 2015-01-26 |