| NPI | 1457696692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELINDA J TURLEY Administrator/Owner 208-944-9418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID LMSW-31713) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2012-11-28 |