| NPI | 1457521023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT STAHN Owner 208-557-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |