| NPI | 1417158338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA S. MARCOTTE Owner 208-466-7443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: ID 26327) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: ID 26327) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2008-06-20 |