| NPI | 1427290881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE ELLEN NELSON-COX Partner/Adminstration 208-339-8437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |