| NPI | 1427419647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER S BIDIMAN Executive Director 208-424-7799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |