| NPI | 1437685799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY OWENS Executive Director 208-233-9135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: ID 000133235) |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-05-05 |