| NPI | 1437588266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON WILLIAM THIELBAHR Chief Financial Officer 208-266-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2019-05-06 |